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Hello doctor,This query is regarding my husband\\s health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 9 kg in three months, though he eats very little. Yesterday, we took the third month follow up MRI scan and I wanted to share below findings in the MRI report.Post-operative changes noted in sphenoid sinus and sellar fossa.Pituitary stalk mildly deviated to the left side.No evidence of enhancing residual and recurrent tumor seen.Polypoidal mucosal thickening noted in bilateral maxillary, ethmoidal, and right frontal sinuses.Also when I look at the scan films, near the pituitary gland few residual part of the tumor is seen. I am requesting you to have a look at my query and respond me how the report looks like. I am more anxious to know about this. Please help me to understand the current status of my husband\\s health.
### Response:
Hello, Welcome to Chat Doctor forum. The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hy ChatDoctor. The so-called \\residual tumour\\ which you have interpreted, may be postoperative changes which is common after pituitary surgery. If the four points that you have written is what was written on the report, then you should not worry. Meet your operating surgeon for further advice regarding Hisone which may cause weight gain. Best wishes. For more information consult a neuro surgeon online | Hello doctor,This query is regarding my husband\\s health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 9 kg in three months, though he eats very little. Yesterday, we took the third month follow up MRI scan and I wanted to share below findings in the MRI report.Post-operative changes noted in sphenoid sinus and sellar fossa.Pituitary stalk mildly deviated to the left side.No evidence of enhancing residual and recurrent tumor seen.Polypoidal mucosal thickening noted in bilateral maxillary, ethmoidal, and right frontal sinuses.Also when I look at the scan films, near the pituitary gland few residual part of the tumor is seen. I am requesting you to have a look at my query and respond me how the report looks like. I am more anxious to know about this. Please help me to understand the current status of my husband\\s health. | Hello, Welcome to Chat Doctor forum. The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hy ChatDoctor. The so-called \\residual tumour\\ which you have interpreted, may be postoperative changes which is common after pituitary surgery. If the four points that you have written is what was written on the report, then you should not worry. Meet your operating surgeon for further advice regarding Hisone which may cause weight gain. Best wishes. For more information consult a neuro surgeon online |
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Hi doctor,Recently, I had undergone chest X-ray, ECG, creatinine, fasting glucose, postprandial blood sugar, urea, uric acid, lipid profile, liver function test, thyroid stimulating hormone, TSH, urine complete analysis, complete blood count with ESR and ultrasound of abdomen and pelvis. All the reports came back normal except my urine report. My chemical examination of urine says there is blood in the urine and the microscopic examination says pus cells and RBCs are present. I contacted my doctor immediately and he suggested to go for urine culture and sensitivity. The report came after three days and it looks normal as well. It says, no growth noticed at the end of 48 hours of incubation and microscopic examination says occasional pus cells and no microorganisms were seen. The doctor said not to worry and that everything is alright. He suggested taking more water. He also mentioned that the ultrasound report is also normal. I searched on the internet about RBCs in the blood and saw some very strange articles which scared me a lot. I request you to kindly help me out and suggest what I should do.
### Response:
Hello, Welcome to Chat Doctor forum. According to your reports, it seems to be a urinary tract infection secondary to a kidney stone. Some kidney stones are not visible on the ultrasound. So, I suggest you do a CT scan of the abdomen and repeat urinalysis. If the same report persists, then we can think of nephrolithiasis. Such reports can be seen in acute kidney injury secondary to a urinary tract infection which usually subsides on its own. Do not worry. For more information consult an internal medicine physician online | Hi doctor,Recently, I had undergone chest X-ray, ECG, creatinine, fasting glucose, postprandial blood sugar, urea, uric acid, lipid profile, liver function test, thyroid stimulating hormone, TSH, urine complete analysis, complete blood count with ESR and ultrasound of abdomen and pelvis. All the reports came back normal except my urine report. My chemical examination of urine says there is blood in the urine and the microscopic examination says pus cells and RBCs are present. I contacted my doctor immediately and he suggested to go for urine culture and sensitivity. The report came after three days and it looks normal as well. It says, no growth noticed at the end of 48 hours of incubation and microscopic examination says occasional pus cells and no microorganisms were seen. The doctor said not to worry and that everything is alright. He suggested taking more water. He also mentioned that the ultrasound report is also normal. I searched on the internet about RBCs in the blood and saw some very strange articles which scared me a lot. I request you to kindly help me out and suggest what I should do. | Hello, Welcome to Chat Doctor forum. According to your reports, it seems to be a urinary tract infection secondary to a kidney stone. Some kidney stones are not visible on the ultrasound. So, I suggest you do a CT scan of the abdomen and repeat urinalysis. If the same report persists, then we can think of nephrolithiasis. Such reports can be seen in acute kidney injury secondary to a urinary tract infection which usually subsides on its own. Do not worry. For more information consult an internal medicine physician online |
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Hi doctor, I have a unilateral submandibular lymph node swelling on the right hand side of the neck. I had an ultrasound and at this time the lymph node measure 5-6 cm and the onset were sudden with pain. After three-course of antibiotics (Augmentin two doses and Clindamycin one dose), I was referred to have another ultrasound. This was after two months of the initial appearance of the lymph node. This ultrasound scan showed the lymph node had become 3 cm but was still present. So the doctor ordered FNAC. The results of this have come back and there is no sign of metastasis or no sign of TB lymphadenopathy. The doctor has suggested yet another course of antibiotics of Doxycycline and remeasure the Lymph node after three weeks. The FNAC said it was an inflammatory lymph node. Does this mean reactive lymph node? What else could be causing this?
### Response:
Hi. I want you to be completely calm because according to the course of the lymph node enlargement, symptoms, and investigations the lymph node enlargement is just an inflammatory reaction. It is not a tumor at all. Just complete your antibiotic treatment then follow up on the lymph node again just for assurance. The lymph node may decrease in size but never comes to its normal size again. This is normal. Now about causes, any neck, mouth, or pharyngeal inflammation can cause inflammatory enlargement of a submandibular lymph node. Even without the previously mentioned inflammations, a submandibular lymph node inflammation can start by itself as the lymph node works as a filter for the blood picking up pathogenic microorganisms. Take care. | Hi doctor, I have a unilateral submandibular lymph node swelling on the right hand side of the neck. I had an ultrasound and at this time the lymph node measure 5-6 cm and the onset were sudden with pain. After three-course of antibiotics (Augmentin two doses and Clindamycin one dose), I was referred to have another ultrasound. This was after two months of the initial appearance of the lymph node. This ultrasound scan showed the lymph node had become 3 cm but was still present. So the doctor ordered FNAC. The results of this have come back and there is no sign of metastasis or no sign of TB lymphadenopathy. The doctor has suggested yet another course of antibiotics of Doxycycline and remeasure the Lymph node after three weeks. The FNAC said it was an inflammatory lymph node. Does this mean reactive lymph node? What else could be causing this? | Hi. I want you to be completely calm because according to the course of the lymph node enlargement, symptoms, and investigations the lymph node enlargement is just an inflammatory reaction. It is not a tumor at all. Just complete your antibiotic treatment then follow up on the lymph node again just for assurance. The lymph node may decrease in size but never comes to its normal size again. This is normal. Now about causes, any neck, mouth, or pharyngeal inflammation can cause inflammatory enlargement of a submandibular lymph node. Even without the previously mentioned inflammations, a submandibular lymph node inflammation can start by itself as the lymph node works as a filter for the blood picking up pathogenic microorganisms. Take care. |
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Hello doctor,I have been having tooth pain for about six weeks. It is only when pressure is applied when I eat. No sensitivity to cold or hot. I went to the dentist and he took X-rays and compared them to routine X-rays taken a couple of months prior. He said the two sets were the same and saw no reason for the pain.He tested my bite with that blue paper and thought the issue might be related to my bite. So, he filed down one of my teeth ever so slightly and thought that would do the trick. Two weeks later, the pain had not subsided, I went back and this time he performed a CT scan. He thought maybe there was a crack or something that was not picked up by the X-ray. The scan was also normal, and he could find no reason for the pain.He said he thinks the best option at this point would be to perform a root canal. Is this the best course of action?
### Response:
Hi, Welcome to Chat Doctor forum. As per your history, there is no pulp cavity exposure or even if there is a crack that will not cause the pain. The reason I think is the filling, which may be high (high point). The second reason may be a periodontal problem. I do not think RCT (root canal treatment) is the best possible cause. If you would have any sort of sensitivity, root canal could have been the option. I think it is purely pressure-related. For that get your filling trimmed a little bit. Wait for two to three weeks, I think it will be over. For more information consult a dentist online | Hello doctor,I have been having tooth pain for about six weeks. It is only when pressure is applied when I eat. No sensitivity to cold or hot. I went to the dentist and he took X-rays and compared them to routine X-rays taken a couple of months prior. He said the two sets were the same and saw no reason for the pain.He tested my bite with that blue paper and thought the issue might be related to my bite. So, he filed down one of my teeth ever so slightly and thought that would do the trick. Two weeks later, the pain had not subsided, I went back and this time he performed a CT scan. He thought maybe there was a crack or something that was not picked up by the X-ray. The scan was also normal, and he could find no reason for the pain.He said he thinks the best option at this point would be to perform a root canal. Is this the best course of action? | Hi, Welcome to Chat Doctor forum. As per your history, there is no pulp cavity exposure or even if there is a crack that will not cause the pain. The reason I think is the filling, which may be high (high point). The second reason may be a periodontal problem. I do not think RCT (root canal treatment) is the best possible cause. If you would have any sort of sensitivity, root canal could have been the option. I think it is purely pressure-related. For that get your filling trimmed a little bit. Wait for two to three weeks, I think it will be over. For more information consult a dentist online |
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Hello doctor,I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like there is water or ice on my feet. My right knee feels stiff and then I switch to my left knee. My doctor looked confused and said it was all anxiety. Really, I do not think so. Could this be an early sign of diabetes?
### Response:
Hello, Welcome to Chat Doctor forum. I have read through your question and I would like to tell you that peripheral neuropathy can happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-dependent diabetes mellitus is more common. It can be diagnosed by a blood sugar profile. I would advise you to get an ESR (erythrocyte sedimentation rate), RF (rheumatoid factor), and CRP (C-reactive protein) done to diagnose the cause of the stiffness. If these tests come clear then most likely it a neuropathic pain caused due to a nerve compression for which we may need to get an MRI (magnetic resonance imaging). In the meanwhile, I suggest you can start taking tablet Neurobion Forte (multivitamin supplement) and let me know if you feel any improvement. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Thank you. For more information consult a family physician online | Hello doctor,I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like there is water or ice on my feet. My right knee feels stiff and then I switch to my left knee. My doctor looked confused and said it was all anxiety. Really, I do not think so. Could this be an early sign of diabetes? | Hello, Welcome to Chat Doctor forum. I have read through your question and I would like to tell you that peripheral neuropathy can happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-dependent diabetes mellitus is more common. It can be diagnosed by a blood sugar profile. I would advise you to get an ESR (erythrocyte sedimentation rate), RF (rheumatoid factor), and CRP (C-reactive protein) done to diagnose the cause of the stiffness. If these tests come clear then most likely it a neuropathic pain caused due to a nerve compression for which we may need to get an MRI (magnetic resonance imaging). In the meanwhile, I suggest you can start taking tablet Neurobion Forte (multivitamin supplement) and let me know if you feel any improvement. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Thank you. For more information consult a family physician online |
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Hello doctor,I am just 10 days away to be 20 years old. I have been seeing black dots or I may say they appear differently on my eyes. They do not go away. I always have them with me. They irritate me because I normally see them the most or clearly when I am out in the daylight. I sometimes find it hard to face the light meaning like looking around on a sunny day. These things do not prevent me from seeing. I see even from afar but I see well when there is no much light because I cannot stand light well when I am watching something. I have read somewhere that they are called floaters and can cause blindness. I have started to see just one dot and now I see some more not too many but irritating. It has been years. However, I have only tried to tell a doctor but he said that there is no problem and I have not done any treatment. So, I need your help, please.
### Response:
Hi, Welcome to Chat Doctor forum. You have correctly described your floaters. Only thing is that it is perfectly normal as they are part of aging and will only increase with time. They develop as the vitreous jelly inside our eyes liquifies with time. So they move when your eye moves. They do not cause blindness on their own. They are a matter of concern only when there is a sudden shower of floaters associated with flashes. In that case, you will need an examination of your retina after full dilation of your pupil to rule out any break in your retina which if not lasered on time may proceed to retinal detachment. Take care. | Hello doctor,I am just 10 days away to be 20 years old. I have been seeing black dots or I may say they appear differently on my eyes. They do not go away. I always have them with me. They irritate me because I normally see them the most or clearly when I am out in the daylight. I sometimes find it hard to face the light meaning like looking around on a sunny day. These things do not prevent me from seeing. I see even from afar but I see well when there is no much light because I cannot stand light well when I am watching something. I have read somewhere that they are called floaters and can cause blindness. I have started to see just one dot and now I see some more not too many but irritating. It has been years. However, I have only tried to tell a doctor but he said that there is no problem and I have not done any treatment. So, I need your help, please. | Hi, Welcome to Chat Doctor forum. You have correctly described your floaters. Only thing is that it is perfectly normal as they are part of aging and will only increase with time. They develop as the vitreous jelly inside our eyes liquifies with time. So they move when your eye moves. They do not cause blindness on their own. They are a matter of concern only when there is a sudden shower of floaters associated with flashes. In that case, you will need an examination of your retina after full dilation of your pupil to rule out any break in your retina which if not lasered on time may proceed to retinal detachment. Take care. |
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Hello doctor,My symptoms are constant lightheadedness, feeling like drunk all the time, fatigue after a couple of hours and clicking sound when swallowing in both ears since last eight weeks. Yawning also causes a clicking sound. Ear fullness in both ears, some weird very low buzzing sound in the right ear but also shows up in left ear but goes away. The audio test is normal. Ear pressure test is normal for the left ear but not for the right. MRI, CT scan are also normal. Endoscopy shows normal eustachian opening but some allergic inflammation. There is no fever. I have been prescribed Betahistine 16 mg 3 times, FM 24 1 tablet in the night. I am a type 1 diabetic and have Addison\\s disease too. I am on Hydrocortisone three times daily for Addison\\s disease, Insulin three times for diabetes and Thyroxine for hypothyroid.Now, this may be eustachian tube dysfunction, but my doctor has not communicated properly about how much time it takes to resolve. Do other people have similar problems? I have heard stories of people not recovering for 20 to 30 years. What does that mean?
### Response:
Hello, Welcome to Chat Doctor forum. We need to have a look at your reports and investigation films for correct diagnosis. Kindly upload all the reports and relevant investigation films and get back to us. Eustachian tube dysfunction does not take that long to heal. Appropriate medicines will help you get relief from the problem. Do revert back for further help. For more information consult an ENT otolaryngologist online | Hello doctor,My symptoms are constant lightheadedness, feeling like drunk all the time, fatigue after a couple of hours and clicking sound when swallowing in both ears since last eight weeks. Yawning also causes a clicking sound. Ear fullness in both ears, some weird very low buzzing sound in the right ear but also shows up in left ear but goes away. The audio test is normal. Ear pressure test is normal for the left ear but not for the right. MRI, CT scan are also normal. Endoscopy shows normal eustachian opening but some allergic inflammation. There is no fever. I have been prescribed Betahistine 16 mg 3 times, FM 24 1 tablet in the night. I am a type 1 diabetic and have Addison\\s disease too. I am on Hydrocortisone three times daily for Addison\\s disease, Insulin three times for diabetes and Thyroxine for hypothyroid.Now, this may be eustachian tube dysfunction, but my doctor has not communicated properly about how much time it takes to resolve. Do other people have similar problems? I have heard stories of people not recovering for 20 to 30 years. What does that mean? | Hello, Welcome to Chat Doctor forum. We need to have a look at your reports and investigation films for correct diagnosis. Kindly upload all the reports and relevant investigation films and get back to us. Eustachian tube dysfunction does not take that long to heal. Appropriate medicines will help you get relief from the problem. Do revert back for further help. For more information consult an ENT otolaryngologist online |
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Hello doctor,My brother just turned 26 years old three days back and he is a smoker from last seven years. On an average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. Appetite is excellent. Stamina is very good. No weight loss. He has had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer.
### Response:
Hello, Welcome to Chat Doctor forum. It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him. | Hello doctor,My brother just turned 26 years old three days back and he is a smoker from last seven years. On an average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. Appetite is excellent. Stamina is very good. No weight loss. He has had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer. | Hello, Welcome to Chat Doctor forum. It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him. |
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Hi, doctor I am 13 weeks pregnant last week I undergone for NT scan the report was normal and the same time I gave double marker blood test. Yesterday from the hospital they called me for blood test because the first report shows abnormal. I am so scared whether second time double marker test shows normal. They didn\\t give the report of first test but simply told first test was abnormal so we sending for second time. I am confused. Please tell me whether second time test shows normal result. If it is abnormal is there is any early treatment to protect the baby from down syndrome.
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Hello, First of all congrats on your pregnancy. Let me clarify that double marker is only a screening test .It\\s not a confirmatory test. Double markers are not repeated if they r showing high risk.Sonif the lab has asked for a second sample ,it may be due to some other reason. It means even if we say ,ur second test shows a high risk (chances of which r less) ,it only means that this baby for some reason has a higher risk for a genetic problem.you still need to do an amniocentesis and do a karyotyping to confirm the genetic problem. We see many double markers which r abnormal,but very few if those have an abnormal Karyotype on confirmation. So rest assured and enjoy your pregnancy .let the results come .Nothing is decided by a double marker test. Taking folic acid 3 months prior to pregnancy is onevway of preventing a downs syn ChatDoctor. So pls wait for the result.Theres no need to panic. Have a safe pregnancy. | Hi, doctor I am 13 weeks pregnant last week I undergone for NT scan the report was normal and the same time I gave double marker blood test. Yesterday from the hospital they called me for blood test because the first report shows abnormal. I am so scared whether second time double marker test shows normal. They didn\\t give the report of first test but simply told first test was abnormal so we sending for second time. I am confused. Please tell me whether second time test shows normal result. If it is abnormal is there is any early treatment to protect the baby from down syndrome. | Hello, First of all congrats on your pregnancy. Let me clarify that double marker is only a screening test .It\\s not a confirmatory test. Double markers are not repeated if they r showing high risk.Sonif the lab has asked for a second sample ,it may be due to some other reason. It means even if we say ,ur second test shows a high risk (chances of which r less) ,it only means that this baby for some reason has a higher risk for a genetic problem.you still need to do an amniocentesis and do a karyotyping to confirm the genetic problem. We see many double markers which r abnormal,but very few if those have an abnormal Karyotype on confirmation. So rest assured and enjoy your pregnancy .let the results come .Nothing is decided by a double marker test. Taking folic acid 3 months prior to pregnancy is onevway of preventing a downs syn ChatDoctor. So pls wait for the result.Theres no need to panic. Have a safe pregnancy. |
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Hello doctor,I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there were many instances of adverse reactions by taking medicines of Iron composition. These include restlessness, breathing problem, and diarrhea. About five years ago, upon the doctor's advice and supervision, I was fed intravenously through saline bottle with some Iron injection to it. Immediately in about 15 minutes after the procedure, I experienced shortness of breath, burning sensation in muscles, swelling of legs, fatigue, and diarrhea. It subsided when I was given an antidote by the doctor immediately. From then onwards I was reluctant to take any of my medicines and undergo any treatment. I just focussed on improving my diet. Recently upon doctor's advice, I took some medical tests and the reports were serum ferritin
### Response:
Hello, Welcome to Chat Doctor forum. You are having Iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood transfusion or Iron injection might be needed in your case if severe anemia is present as per provided history. Before transfusion, an antihistaminic ChatDoctor. I suggest you consult a Hematologist for examination and accordingly further management. For more information consult a hematologist online | Hello doctor,I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there were many instances of adverse reactions by taking medicines of Iron composition. These include restlessness, breathing problem, and diarrhea. About five years ago, upon the doctor's advice and supervision, I was fed intravenously through saline bottle with some Iron injection to it. Immediately in about 15 minutes after the procedure, I experienced shortness of breath, burning sensation in muscles, swelling of legs, fatigue, and diarrhea. It subsided when I was given an antidote by the doctor immediately. From then onwards I was reluctant to take any of my medicines and undergo any treatment. I just focussed on improving my diet. Recently upon doctor's advice, I took some medical tests and the reports were serum ferritin | Hello, Welcome to Chat Doctor forum. You are having Iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood transfusion or Iron injection might be needed in your case if severe anemia is present as per provided history. Before transfusion, an antihistaminic ChatDoctor. I suggest you consult a Hematologist for examination and accordingly further management. For more information consult a hematologist online |
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Hi doctor,My father had mild chest pain. The doctor did an angiogram, and they told there is a block in the blood pumping vessel and it is closed. We planned for placing a stent. The next day, the doctor tested again and told the blood vessel is opened and it is normal. So, the stent was not placed. After a few days, my father had pain below the heart which was on the rib side, and he told something is holding in the heart. So, again we went to the cardiologist. The doctor examined him and said he is fine and there is nothing to worry. Whenever he got this pain, we consulted the cardiologist, and he said there is no problem in the heart. He got this pain for about three times till now. Again, we tested for a gastric problem and a neurological problem. That was also fine after the examination. But, still he is experiencing the same pain, and he is willing to do angiogram now. I cannot understand the problem. Please suggest.
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Hi, Welcome to Chat Doctor forum. Your cardiologist would have done ECG (electrocardiogram), echocardiogram, and TMT (treadmill test). If all these three tests are normal, then the cardiac problem is unlikely to occur. If this pain is not increased during walking or any other physical activity, then it is not from the heart. Usually, heart attack pain increase during physical activity. It can be a muscular, or anxiety or microvascular angina. If he is in discomfort, you can go for an angiogram on your will. For more information consult a cardiologist online | Hi doctor,My father had mild chest pain. The doctor did an angiogram, and they told there is a block in the blood pumping vessel and it is closed. We planned for placing a stent. The next day, the doctor tested again and told the blood vessel is opened and it is normal. So, the stent was not placed. After a few days, my father had pain below the heart which was on the rib side, and he told something is holding in the heart. So, again we went to the cardiologist. The doctor examined him and said he is fine and there is nothing to worry. Whenever he got this pain, we consulted the cardiologist, and he said there is no problem in the heart. He got this pain for about three times till now. Again, we tested for a gastric problem and a neurological problem. That was also fine after the examination. But, still he is experiencing the same pain, and he is willing to do angiogram now. I cannot understand the problem. Please suggest. | Hi, Welcome to Chat Doctor forum. Your cardiologist would have done ECG (electrocardiogram), echocardiogram, and TMT (treadmill test). If all these three tests are normal, then the cardiac problem is unlikely to occur. If this pain is not increased during walking or any other physical activity, then it is not from the heart. Usually, heart attack pain increase during physical activity. It can be a muscular, or anxiety or microvascular angina. If he is in discomfort, you can go for an angiogram on your will. For more information consult a cardiologist online |
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Hello doctor,I am 18 years old and I do not know what is wrong with me. I think I have severe depression and anxiety, but obviously, that cannot be 100 % accurate. The thing is, I think I am depressed, but there are times where I feel on top of the world. Maybe I have bipolar disorder? I do not know. I have been researching a lot lately and I have watched videos of people experiencing a maniac episode and I feel like sometimes I act like that. I am not sure though. It would really help if I could talk to a professional, but I am scared of asking my parents to see one. I know they would probably say yes and accept me but I have just always been closed off. So, now I am here. Please help.
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Hi, Welcome to Chat Doctor forum. Ideally, you should collect the courage to tell your problem to parents because you are still very young. If not comfortable with parents some close relative or friend or free helpline. Making the diagnosis of depression, the symptoms must present for at least two weeks regularly. Sometimes we see someone close to us suffering from any disease and try to find or check yourself for these symptoms, remain anxious with their thought, later that thought can lead to depression. One more easy way to decide is to ask yourself whether normal functioning is hampered. If the answer is yes you should go to a psychiatrist as early as possible. Again saying that taking help from the parent is the best option in front of you. Do not be afraid of the treatment. It is very simple and easy to treat depression nowadays. | Hello doctor,I am 18 years old and I do not know what is wrong with me. I think I have severe depression and anxiety, but obviously, that cannot be 100 % accurate. The thing is, I think I am depressed, but there are times where I feel on top of the world. Maybe I have bipolar disorder? I do not know. I have been researching a lot lately and I have watched videos of people experiencing a maniac episode and I feel like sometimes I act like that. I am not sure though. It would really help if I could talk to a professional, but I am scared of asking my parents to see one. I know they would probably say yes and accept me but I have just always been closed off. So, now I am here. Please help. | Hi, Welcome to Chat Doctor forum. Ideally, you should collect the courage to tell your problem to parents because you are still very young. If not comfortable with parents some close relative or friend or free helpline. Making the diagnosis of depression, the symptoms must present for at least two weeks regularly. Sometimes we see someone close to us suffering from any disease and try to find or check yourself for these symptoms, remain anxious with their thought, later that thought can lead to depression. One more easy way to decide is to ask yourself whether normal functioning is hampered. If the answer is yes you should go to a psychiatrist as early as possible. Again saying that taking help from the parent is the best option in front of you. Do not be afraid of the treatment. It is very simple and easy to treat depression nowadays. |
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Hi doctor,I had unprotected sex approximately 18 hours ago. I am worried if I should take I-pill. I am already taking medication for PCOD since one year. There has been some improvement and my period is due in a day or two. The medication that I am taking is Calcarea phosphorica 200 and Jonosia Ashoka. I am a 22 year old female and my weight is 63 kg and height is 4\\11\". Should I take I-pill? Does it have any serious long-term effects? Also tell me if taking I-pill would worsen my PCOD problem? Please suggest few other safe contraceptive methods other than the general contraceptives. I had done lower abdomen ultrasound about four months back and the doctor observed small cysts. Thanks.
### Response:
Hello, Welcome to Chat Doctor forum. As you are a known case of polycystic ovary syn ChatDoctor. So, you must take an emergency contraceptive pill within 72 hours of last intercourse. Again you are on homeopathic medication which would have its effect for long-term and will not offer you any immediate protection.After the I-pill you should expect your menses in the next 7 days. If it does not occur, then you should rule out pregnancy with a serum beta-hCG test. Besides oral contraceptive pills (OCP) the best contraception for you would be a depot injection or a Norplant (Levonorgestrel) hormonal contraceptive. But, as you are a case of PCOS, hormones should be avoided and condoms should be used as barrier contraceptives. | Hi doctor,I had unprotected sex approximately 18 hours ago. I am worried if I should take I-pill. I am already taking medication for PCOD since one year. There has been some improvement and my period is due in a day or two. The medication that I am taking is Calcarea phosphorica 200 and Jonosia Ashoka. I am a 22 year old female and my weight is 63 kg and height is 4\\11\". Should I take I-pill? Does it have any serious long-term effects? Also tell me if taking I-pill would worsen my PCOD problem? Please suggest few other safe contraceptive methods other than the general contraceptives. I had done lower abdomen ultrasound about four months back and the doctor observed small cysts. Thanks. | Hello, Welcome to Chat Doctor forum. As you are a known case of polycystic ovary syn ChatDoctor. So, you must take an emergency contraceptive pill within 72 hours of last intercourse. Again you are on homeopathic medication which would have its effect for long-term and will not offer you any immediate protection.After the I-pill you should expect your menses in the next 7 days. If it does not occur, then you should rule out pregnancy with a serum beta-hCG test. Besides oral contraceptive pills (OCP) the best contraception for you would be a depot injection or a Norplant (Levonorgestrel) hormonal contraceptive. But, as you are a case of PCOS, hormones should be avoided and condoms should be used as barrier contraceptives. |
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Hello doctor,My nasal passage was cauterized four months back. Two days later I began having lots of yellow pus like discharge from my nose. It mostly was being expelled via my throat with sputum. The cauterized site was yellow and there was yellow pus like all over.I have been prescribed Amoxyclav 625 for seven days, Cefuroxime 500 for seven days. The cauterized site was still not healed and was still having yellow discharge. I then consulted an ENT doctor who took a look at it and gave me Linezolid 600 for 10 days. The infection of the cauterized site is still not healed and still oozing with yellow pus-like discharge although there is slight improvement. I have low grade fever on and off. I feel I may be having an infection in my nose that is resistant to antibiotics.Can you please help me and advice me on how to treat my nasal passage? And also what other investigations should I do? I am worried about the infection whether it could harm me as it continues.
### Response:
Hello. The cauterized site you have mentioned might be infected as you said. 1. The best treatement now in this situation is take a sterile swab and touch the swab with the pus and send it for culture and sensitivity, it will definitely give the medication sensitive for your bacteria. 2. Meanwhile start injectables preferably Ceftazidime 1 g and injection Amikacin 500 mg after test doses for five days. 3. Start application of Neosporin ointment on the site. | Hello doctor,My nasal passage was cauterized four months back. Two days later I began having lots of yellow pus like discharge from my nose. It mostly was being expelled via my throat with sputum. The cauterized site was yellow and there was yellow pus like all over.I have been prescribed Amoxyclav 625 for seven days, Cefuroxime 500 for seven days. The cauterized site was still not healed and was still having yellow discharge. I then consulted an ENT doctor who took a look at it and gave me Linezolid 600 for 10 days. The infection of the cauterized site is still not healed and still oozing with yellow pus-like discharge although there is slight improvement. I have low grade fever on and off. I feel I may be having an infection in my nose that is resistant to antibiotics.Can you please help me and advice me on how to treat my nasal passage? And also what other investigations should I do? I am worried about the infection whether it could harm me as it continues. | Hello. The cauterized site you have mentioned might be infected as you said. 1. The best treatement now in this situation is take a sterile swab and touch the swab with the pus and send it for culture and sensitivity, it will definitely give the medication sensitive for your bacteria. 2. Meanwhile start injectables preferably Ceftazidime 1 g and injection Amikacin 500 mg after test doses for five days. 3. Start application of Neosporin ointment on the site. |
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Hi doctor,This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life?
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Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life. | Hi doctor,This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life? | Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life. |
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Hello doctor,I am a normal healthy individual with a sedentary lifestyle. I weigh 67 kg and my height is 165 cm. I am experiencing some breathlessness of late when I walk. Hence, I am trying to understand if there is something wrong in me. My annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. My vitamin D levels are also deficient over 3 years. I have a BP of 140/80 and my heart rate ranges between 65 and 78. Two years back, I had taken ayurveda medicine to reduce cholesterol levels. My concern is that it looks like I may have trouble with cardiovascular related issues later if I do not take notice of these higher values showing up in my cholesterol and hemogram levels and my vitamin D deficiency. I have attached my recent reports. I request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. Do I need to take any supplements for my vitamin D deficiency? For comparative purposes and for better diagnosis, I have also attached my test results of past three years that have a high value. Thank you.
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Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Start with ChatDoctor. 2. Have diet with low saturated and trans fats. 3. Begin with some physical activity daily.4. Repeat lipid profile after 2 months. Revert back after two months to a cardiologist online.- Take care. | Hello doctor,I am a normal healthy individual with a sedentary lifestyle. I weigh 67 kg and my height is 165 cm. I am experiencing some breathlessness of late when I walk. Hence, I am trying to understand if there is something wrong in me. My annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. My vitamin D levels are also deficient over 3 years. I have a BP of 140/80 and my heart rate ranges between 65 and 78. Two years back, I had taken ayurveda medicine to reduce cholesterol levels. My concern is that it looks like I may have trouble with cardiovascular related issues later if I do not take notice of these higher values showing up in my cholesterol and hemogram levels and my vitamin D deficiency. I have attached my recent reports. I request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. Do I need to take any supplements for my vitamin D deficiency? For comparative purposes and for better diagnosis, I have also attached my test results of past three years that have a high value. Thank you. | Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Start with ChatDoctor. 2. Have diet with low saturated and trans fats. 3. Begin with some physical activity daily.4. Repeat lipid profile after 2 months. Revert back after two months to a cardiologist online.- Take care. |
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Hello doctor, I am a 60-year-old male who just received the results of a 24-hour Holter monitor.Key findings include
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Hello, Welcome to Chat Doctor forum. Premature atrial contractions or supraventricular ectopics are not harmful per se other than giving you symptoms. So antiarrhythmics are not usually recommended, so I do not disagree with your treating cardiologist. Beta blocker is the safest option available, although not the most effective one and other options are ablation or antiarrhrythmics. So trying behavioral techniques is a good option. But if it troubles you a lot then you may request low dose antiarrhythmics like Amiodarone for a short period of time, but they may again come back after the ChatDoctor. Since there is no atrial fibrillation or SVT (supraventricular tachycardia), antiarrhythmics are absolutely necessary, but the benefit would be in you is just symptomatic, which comes with the risk of side effects. However, you should have Holter at regular intervals like yearly (with echo for aortic regurgitation), or if you notice sustained ectopics or irregular rhythm implying development of fibrillation. You may discuss changing Atenolol to others like Metoprolol and see if its help. You should try to identify triggers like sleep or gastric disturbances, alcohol or smoking (if any), any particular medications (which you are on), stress, etc. Also, if not had recently, thyroid should be tested. So in a nutshell, antiarrhythmics may be avoided, but if not tolerable symptomatically then may be tried. I hope this helps. | Hello doctor, I am a 60-year-old male who just received the results of a 24-hour Holter monitor.Key findings include | Hello, Welcome to Chat Doctor forum. Premature atrial contractions or supraventricular ectopics are not harmful per se other than giving you symptoms. So antiarrhythmics are not usually recommended, so I do not disagree with your treating cardiologist. Beta blocker is the safest option available, although not the most effective one and other options are ablation or antiarrhrythmics. So trying behavioral techniques is a good option. But if it troubles you a lot then you may request low dose antiarrhythmics like Amiodarone for a short period of time, but they may again come back after the ChatDoctor. Since there is no atrial fibrillation or SVT (supraventricular tachycardia), antiarrhythmics are absolutely necessary, but the benefit would be in you is just symptomatic, which comes with the risk of side effects. However, you should have Holter at regular intervals like yearly (with echo for aortic regurgitation), or if you notice sustained ectopics or irregular rhythm implying development of fibrillation. You may discuss changing Atenolol to others like Metoprolol and see if its help. You should try to identify triggers like sleep or gastric disturbances, alcohol or smoking (if any), any particular medications (which you are on), stress, etc. Also, if not had recently, thyroid should be tested. So in a nutshell, antiarrhythmics may be avoided, but if not tolerable symptomatically then may be tried. I hope this helps. |
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Hi doctor,I am a 30-year-old male. I had cheek biting on the left side, and I removed my left upper wisdom tooth before three months. I have a white line and patch adjacent to the lower left wisdom tooth. I also have some white dots over the cheek. I had some sensitivity issue in the left lower wisdom tooth, and I consulted an endodontist.The sharpness of the cusp was reduced, and GIC filling was done for the mild decay. Now, I am eating only on the right side of the tooth. I have a fear of damaging the filling, and so I am eating food on the right side. Now, I do not have pain, but, occasional sensitivity issues. I am advised to have braces after two months. I have an impacted lower left first premolar to erupt. Should I need to conserve the left lower wisdom tooth or can I extract it? I am attaching the images and X-rays. Please give your advice.
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Hi. If you have sensitivity on your wisdom tooth, you should re-evaluate the filling. However, if it is not severe and increasing in nature, please wait for sometime, and it can subside on its own. The presence of wisdom tooth will not interfere with the braces treatment. Usually, when the upper wisdom tooth of the same side is removed, it is advisable to remove the lower also, because without any opposing upper tooth, it is impossible to bite and it can cause supra eruption causing other problems. But it can be removed at the time if it causes trouble. It is not a mandatory procedure at this time. | Hi doctor,I am a 30-year-old male. I had cheek biting on the left side, and I removed my left upper wisdom tooth before three months. I have a white line and patch adjacent to the lower left wisdom tooth. I also have some white dots over the cheek. I had some sensitivity issue in the left lower wisdom tooth, and I consulted an endodontist.The sharpness of the cusp was reduced, and GIC filling was done for the mild decay. Now, I am eating only on the right side of the tooth. I have a fear of damaging the filling, and so I am eating food on the right side. Now, I do not have pain, but, occasional sensitivity issues. I am advised to have braces after two months. I have an impacted lower left first premolar to erupt. Should I need to conserve the left lower wisdom tooth or can I extract it? I am attaching the images and X-rays. Please give your advice. | Hi. If you have sensitivity on your wisdom tooth, you should re-evaluate the filling. However, if it is not severe and increasing in nature, please wait for sometime, and it can subside on its own. The presence of wisdom tooth will not interfere with the braces treatment. Usually, when the upper wisdom tooth of the same side is removed, it is advisable to remove the lower also, because without any opposing upper tooth, it is impossible to bite and it can cause supra eruption causing other problems. But it can be removed at the time if it causes trouble. It is not a mandatory procedure at this time. |
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Hi doctor,I am a 23 year old female. Few weeks earlier, I had tooth pain after eating. Yesterday, I had acute pain in the tooth. I have attached the OPG scan for your reference. I would like to know, from the OPG, what is your opinion about the extent of decay? And also I would like to know about the possible diagnosis. Thank you.
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Hi. Before I answer, I would like to point out a few issues here. You have not mentioned the location of your tooth pain, whether it is on the right or left side. The right and left indicator on the orthopantomograph (OPG) are not visible on the scanned image. So, I am going to describe the findings as I see it. To my right and left, I can see there is decay in two upper molar teeth. Upper third tooth from my right and the upper third tooth from my left.The decay in the upper right first molar appears to be deep. Depending on the symptoms, if you have acute pain that is unchanged, persistent and disturbs your sleep, then the tooth will require root canal treatment (RCT). This is because the nerve of the tooth (pulp) has been involved by the decay. If the RCT is started right away, the tooth can be saved. The decay in the upper left molar tooth is moderately deep and can be filled, if you get it done right away. If delayed, then the decay is likely to progress and involve the nerve of the tooth (pulp), then root canal treatment would be the only option to save the tooth. | Hi doctor,I am a 23 year old female. Few weeks earlier, I had tooth pain after eating. Yesterday, I had acute pain in the tooth. I have attached the OPG scan for your reference. I would like to know, from the OPG, what is your opinion about the extent of decay? And also I would like to know about the possible diagnosis. Thank you. | Hi. Before I answer, I would like to point out a few issues here. You have not mentioned the location of your tooth pain, whether it is on the right or left side. The right and left indicator on the orthopantomograph (OPG) are not visible on the scanned image. So, I am going to describe the findings as I see it. To my right and left, I can see there is decay in two upper molar teeth. Upper third tooth from my right and the upper third tooth from my left.The decay in the upper right first molar appears to be deep. Depending on the symptoms, if you have acute pain that is unchanged, persistent and disturbs your sleep, then the tooth will require root canal treatment (RCT). This is because the nerve of the tooth (pulp) has been involved by the decay. If the RCT is started right away, the tooth can be saved. The decay in the upper left molar tooth is moderately deep and can be filled, if you get it done right away. If delayed, then the decay is likely to progress and involve the nerve of the tooth (pulp), then root canal treatment would be the only option to save the tooth. |
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Hello doctor,I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same.
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Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do qua ChatDoctor. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard. | Hello doctor,I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same. | Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do qua ChatDoctor. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard. |
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Hello doctor,I am a 29 year old male, and I have been having slight giddiness kind of feeling. I am not able to tell if it is giddiness since I did not fall or have any balance issues. This has been there for a week. I had the same symptoms two weeks back. It feels like some kind of pulling sensation in the head, and I do not have a headache. It feels that the pulling sensation is towards one side in the area behind the ears and back of the head. I sit for a long time in front of the computer. What would be the reason? I have erratic sleep patterns, and I sleep at 1 AM. Though I have adequate sleep, I sleep very late at night, and hence the meal pattern is also altered. I have been very stressed from the past two weeks. Would that too be a reason? I have been working out regularly for three months, and I have stopped exercising from last two weeks due to foot pain.
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Hi. It could be benign positional vertigo, which is more common. I guess you might experience giddiness when you suddenly turn your head. It is mostly because of imbalance in the middle ear fluid, usually following ear infection, which is responsible for maintaining our posture. It is definitely treatable. I suggest taking tablet Cinnarizine 8 mg, twice daily for five days. If not relieved, then consult an ENT specialist for further evaluation. As there is no loss of balance and blood pressure is normal, neurological causes are not looked into at initial stage. For more information consult a general medicine physician online | Hello doctor,I am a 29 year old male, and I have been having slight giddiness kind of feeling. I am not able to tell if it is giddiness since I did not fall or have any balance issues. This has been there for a week. I had the same symptoms two weeks back. It feels like some kind of pulling sensation in the head, and I do not have a headache. It feels that the pulling sensation is towards one side in the area behind the ears and back of the head. I sit for a long time in front of the computer. What would be the reason? I have erratic sleep patterns, and I sleep at 1 AM. Though I have adequate sleep, I sleep very late at night, and hence the meal pattern is also altered. I have been very stressed from the past two weeks. Would that too be a reason? I have been working out regularly for three months, and I have stopped exercising from last two weeks due to foot pain. | Hi. It could be benign positional vertigo, which is more common. I guess you might experience giddiness when you suddenly turn your head. It is mostly because of imbalance in the middle ear fluid, usually following ear infection, which is responsible for maintaining our posture. It is definitely treatable. I suggest taking tablet Cinnarizine 8 mg, twice daily for five days. If not relieved, then consult an ENT specialist for further evaluation. As there is no loss of balance and blood pressure is normal, neurological causes are not looked into at initial stage. For more information consult a general medicine physician online |
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Hello doctor,I am 18 years old and I have been having big problems with making friends since I was 7. I go to school and I do not talk at all (only if someone or teacher asks me something). I just cannot find any topics to talk to people and the worst is that I do not know what should I say back when I somehow succeed in starting the conversation. Besides all my life I feel like I am the one that jumps around people and tries to talk to them and they just do not care so I quickly give up and end up alone.And my house is so stressful too, it is so loud because my parents scream so much and I spend most of the time locked in my room because when I hear them screaming it feels so stressful (all this stress is like sitting on my back and I cannot make it stop). Is it even possible for me to make friends? It has been half a year since school started and everyone is occupied by their friends. How can I stop blushing when I am given too much attention? Is it possible that I have some kind of mental illness or maybe autism?
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Hello, Welcome to Chat Doctor forum. First of all, this is not a serious mental issue. Just remain relaxed. You have social anxiety most likely and this anxiety is resulting in symptoms like blushing when you are getting attention, difficulty in making friends, etc. This is social anxiety and a lot of individuals of your age develop. So do not think that you have any abnormality. Just continue to make your efforts to make friends and you will gain confidence with time. No need to get worried. | Hello doctor,I am 18 years old and I have been having big problems with making friends since I was 7. I go to school and I do not talk at all (only if someone or teacher asks me something). I just cannot find any topics to talk to people and the worst is that I do not know what should I say back when I somehow succeed in starting the conversation. Besides all my life I feel like I am the one that jumps around people and tries to talk to them and they just do not care so I quickly give up and end up alone.And my house is so stressful too, it is so loud because my parents scream so much and I spend most of the time locked in my room because when I hear them screaming it feels so stressful (all this stress is like sitting on my back and I cannot make it stop). Is it even possible for me to make friends? It has been half a year since school started and everyone is occupied by their friends. How can I stop blushing when I am given too much attention? Is it possible that I have some kind of mental illness or maybe autism? | Hello, Welcome to Chat Doctor forum. First of all, this is not a serious mental issue. Just remain relaxed. You have social anxiety most likely and this anxiety is resulting in symptoms like blushing when you are getting attention, difficulty in making friends, etc. This is social anxiety and a lot of individuals of your age develop. So do not think that you have any abnormality. Just continue to make your efforts to make friends and you will gain confidence with time. No need to get worried. |
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Hello doctor,A week ago, I was going to the bathroom and noticed a swelling of my right testicle. After feeling around, I then noticed that the testicle is normal size. There is just some excess fluid around my right testicle. This immediately freaked me out as anything wrong makes me think of cancer. Luckily, I had a physical scheduled already for Wednesday of next week, so I had my GP look at it. He noticed the fluid and did some inspection along with his assistant and felt was around and did not feel any lumps, bumps, or swelling of the testicles themselves. Regardless, he went ahead and referred me to a urologist. The fluid has remained pretty consistent since I noticed. I have some time before I visit the urologist, but my GP did not seem to be concerned. Do you have any idea on what this could be? Is there any way this could be from testicular cancer?Currently, I am on anti-anxiety medicine Lexapro 10 mg. I had my complete blood count done a month ago and everything was normal.
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Hello. Relax and do not worry. If you or GP do not feel any lump from testis, then it is not likely to be testis cancer. So, I feel it would be a simple hy ChatDoctor. So, do not worry at all. Yes, show to the urologist as he will advise you an ultrasound of scrotum to diagnose 100 percent. Till then relax and enjoy. Until and unless lump felt from testis, it should not be testicular cancer. For more information consult a urologist online Take care. | Hello doctor,A week ago, I was going to the bathroom and noticed a swelling of my right testicle. After feeling around, I then noticed that the testicle is normal size. There is just some excess fluid around my right testicle. This immediately freaked me out as anything wrong makes me think of cancer. Luckily, I had a physical scheduled already for Wednesday of next week, so I had my GP look at it. He noticed the fluid and did some inspection along with his assistant and felt was around and did not feel any lumps, bumps, or swelling of the testicles themselves. Regardless, he went ahead and referred me to a urologist. The fluid has remained pretty consistent since I noticed. I have some time before I visit the urologist, but my GP did not seem to be concerned. Do you have any idea on what this could be? Is there any way this could be from testicular cancer?Currently, I am on anti-anxiety medicine Lexapro 10 mg. I had my complete blood count done a month ago and everything was normal. | Hello. Relax and do not worry. If you or GP do not feel any lump from testis, then it is not likely to be testis cancer. So, I feel it would be a simple hy ChatDoctor. So, do not worry at all. Yes, show to the urologist as he will advise you an ultrasound of scrotum to diagnose 100 percent. Till then relax and enjoy. Until and unless lump felt from testis, it should not be testicular cancer. For more information consult a urologist online Take care. |
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Hi doctor,I am here to ask some questions regarding HIV and some other possible STDs for the woman having unprotected oral sex (cunnilingus). I tested for HIV after 12 weeks and two days of exposure. I had no sex during this period. The HIV 1/2 rapid screen test showed me a negative result. Does the result conclusive? I consulted a doctor, and she told me that doing a home testing is inaccurate. Is it true?Since, in these three months, I do not have any severe symptoms. Now, it is four months after my exposure. I have small red bumps in the back of my throat. I do not have pain and difficulty in swallowing. Is this a strep throat or pharyngitis? Is it due to STDs? Is it possible for me to have STD symptoms after three months? Please help.
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Hi, Welcome to Chat Doctor forum. Please say whether the throat pain got resolved with medications. If you have it, then it is unlikely to be a cause due to HIV infection. Secondly, the home kit for HIV has a low sensitivity and low specificity. So, it is inconclusive. ELISA (enzyme-linked immunosorbent assay) is a standard test advisable for HIV testing. Since it is four months, the window period for acquiring an HIV infection has overlapped, and hence, having a negative report at this point is very sure to conclude as not having HIV infection. I would suggest you get tested for ELISA now and repeat it after four weeks again or after a month. Also get a swab sampling done for your throat pain and consult a physician. | Hi doctor,I am here to ask some questions regarding HIV and some other possible STDs for the woman having unprotected oral sex (cunnilingus). I tested for HIV after 12 weeks and two days of exposure. I had no sex during this period. The HIV 1/2 rapid screen test showed me a negative result. Does the result conclusive? I consulted a doctor, and she told me that doing a home testing is inaccurate. Is it true?Since, in these three months, I do not have any severe symptoms. Now, it is four months after my exposure. I have small red bumps in the back of my throat. I do not have pain and difficulty in swallowing. Is this a strep throat or pharyngitis? Is it due to STDs? Is it possible for me to have STD symptoms after three months? Please help. | Hi, Welcome to Chat Doctor forum. Please say whether the throat pain got resolved with medications. If you have it, then it is unlikely to be a cause due to HIV infection. Secondly, the home kit for HIV has a low sensitivity and low specificity. So, it is inconclusive. ELISA (enzyme-linked immunosorbent assay) is a standard test advisable for HIV testing. Since it is four months, the window period for acquiring an HIV infection has overlapped, and hence, having a negative report at this point is very sure to conclude as not having HIV infection. I would suggest you get tested for ELISA now and repeat it after four weeks again or after a month. Also get a swab sampling done for your throat pain and consult a physician. |
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Hi doctor,I am a 29 year old male. I am suffering from food allergy. I consulted a dermatologist doctor two months back and he prescribed Fexofenadine and Levocetirizine plus Montelukast Sodium tablets. He advised me not to take tomatoes, onions, potatoes, and lemon. The medications are over. Still, I find some hives in my body. How long should I take the medicines? Is it curable? Can I recover fully even if I take tomatoes, onions, and potatoes? Can you suggest me?
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Hi. If you have an allergy to certain foods, you must be getting hives when you consume them. You might get hives within an hour of consuming those above-mentioned foods. Are you getting hives when you take these foods? If yes, then you have to completely avoid them in the future. Once your body develops an allergy to something, it remembers it forever. Whenever you take those foods, you will have hives. This is like, if you have an allergy to a wristwatch, you should stop using it. That is the only remedy for that. Similarly, if you have found out that you are getting hives after having these foods, then you should stop eating them. I am afraid that allergy is not curable, but it can be controlled with medications. Your dermatologist has given you the right anti-allergic pills. Are you on any other oral medications? Have you done any blood test? How often do you get hives? Do you get swelling of lips, eyes, breathing difficulty or any joint pain? Revert with more information to a dermatologist online | Hi doctor,I am a 29 year old male. I am suffering from food allergy. I consulted a dermatologist doctor two months back and he prescribed Fexofenadine and Levocetirizine plus Montelukast Sodium tablets. He advised me not to take tomatoes, onions, potatoes, and lemon. The medications are over. Still, I find some hives in my body. How long should I take the medicines? Is it curable? Can I recover fully even if I take tomatoes, onions, and potatoes? Can you suggest me? | Hi. If you have an allergy to certain foods, you must be getting hives when you consume them. You might get hives within an hour of consuming those above-mentioned foods. Are you getting hives when you take these foods? If yes, then you have to completely avoid them in the future. Once your body develops an allergy to something, it remembers it forever. Whenever you take those foods, you will have hives. This is like, if you have an allergy to a wristwatch, you should stop using it. That is the only remedy for that. Similarly, if you have found out that you are getting hives after having these foods, then you should stop eating them. I am afraid that allergy is not curable, but it can be controlled with medications. Your dermatologist has given you the right anti-allergic pills. Are you on any other oral medications? Have you done any blood test? How often do you get hives? Do you get swelling of lips, eyes, breathing difficulty or any joint pain? Revert with more information to a dermatologist online |
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Hello doctor,I have a 4 weeks old baby boy. He was healthy without any pain or colics. But yesterday I noticed a swelling in his inguinal area, I went to the hospital, and the doctor said he had left inguinal hernia. But it is not bad. The problem is he is not taking feed regularly, and when I try to feed him, he wants to eat only when he is hungry. But he cries. He vomits four to five times or even more after feeding and also has a lot of hiccups. I feed him in the upright position. His stomach looks like a balloon, and he is having a problem to excrete. Can it be a reflux or lactose intolerance? I told the doctor, but he said it is normal. It does not seem to be normal because the baby is uncomfortable and always arch his back, and he is always grunting as he wants to excrete.
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Hello. From the way that you are describing, it looks like this is your first baby. Please note that the weight of your baby is perfect, and all the phenomena that you described are completely normal at this age group. But the hernia is definitely a concern. It is probably because of this hernia the child may wriggle about and have occasional pain and colic. I hope that the doctors have explained and showed you how to reduce the hernia. Please be advised that this hernia would require a regular follow for six months to see if a surgery is required to close the hernia. Do not worry, it is a minor surgery. Normal phenomenon in chil ChatDoctor. The abnormal phenomenon in chil | Hello doctor,I have a 4 weeks old baby boy. He was healthy without any pain or colics. But yesterday I noticed a swelling in his inguinal area, I went to the hospital, and the doctor said he had left inguinal hernia. But it is not bad. The problem is he is not taking feed regularly, and when I try to feed him, he wants to eat only when he is hungry. But he cries. He vomits four to five times or even more after feeding and also has a lot of hiccups. I feed him in the upright position. His stomach looks like a balloon, and he is having a problem to excrete. Can it be a reflux or lactose intolerance? I told the doctor, but he said it is normal. It does not seem to be normal because the baby is uncomfortable and always arch his back, and he is always grunting as he wants to excrete. | Hello. From the way that you are describing, it looks like this is your first baby. Please note that the weight of your baby is perfect, and all the phenomena that you described are completely normal at this age group. But the hernia is definitely a concern. It is probably because of this hernia the child may wriggle about and have occasional pain and colic. I hope that the doctors have explained and showed you how to reduce the hernia. Please be advised that this hernia would require a regular follow for six months to see if a surgery is required to close the hernia. Do not worry, it is a minor surgery. Normal phenomenon in chil ChatDoctor. The abnormal phenomenon in chil |
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Hello doctor,I have attached the PFA and the blood test report of my wife who is 29 years of age. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? She has got the blood test profile checked just as a general checkup and not specific to any illness. We get it checked once every two years.
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Hello. I have thoroughly gone through the reports (attachment removed to protect patient identity), and I understand that she did not have any symptoms, but you got the tests done just for the regular checkup. Out of these, there are some red flags which need to be further evaluated like the low iron and low values indicating an iron deficiency anemia. Also, the stimulating thyroid hormone is raised, but T3 and T4 are normal which could be subclinical hypothyroidism. For this, we need to see if there are any thyroid antibodies present. Please get the tests that I mention below done. Also, the raised ALP (Alkaline Phosphatase) needs to be looked at. Given that CRP (C-Reactive Protein Test) is raised it means there is an underlying disease process. It could be the subclinical hypothyroidism, or it could be something else. Sometimes autoimmune hypothyroidism can be associated with other conditions that can cause both anemia and a raised ALP. Please get the tests done so that we can promptly get to the bottom of this. Also, tell me if she has other symptoms like itching or fatigue, etc. Hope this helps. For more information consult a family physician online Take care. | Hello doctor,I have attached the PFA and the blood test report of my wife who is 29 years of age. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? She has got the blood test profile checked just as a general checkup and not specific to any illness. We get it checked once every two years. | Hello. I have thoroughly gone through the reports (attachment removed to protect patient identity), and I understand that she did not have any symptoms, but you got the tests done just for the regular checkup. Out of these, there are some red flags which need to be further evaluated like the low iron and low values indicating an iron deficiency anemia. Also, the stimulating thyroid hormone is raised, but T3 and T4 are normal which could be subclinical hypothyroidism. For this, we need to see if there are any thyroid antibodies present. Please get the tests that I mention below done. Also, the raised ALP (Alkaline Phosphatase) needs to be looked at. Given that CRP (C-Reactive Protein Test) is raised it means there is an underlying disease process. It could be the subclinical hypothyroidism, or it could be something else. Sometimes autoimmune hypothyroidism can be associated with other conditions that can cause both anemia and a raised ALP. Please get the tests done so that we can promptly get to the bottom of this. Also, tell me if she has other symptoms like itching or fatigue, etc. Hope this helps. For more information consult a family physician online Take care. |
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Hi doctor,I am a 33 years old female, and I have had three c-sections and normal regular periods. My menstrual cycle three months back was short and lighter, and I ovulated about a week early. I noticed some pain, which almost reminded me of implantation pain. This continued on and off with pain and twinges. I thought maybe I was in early stages of pregnancy. Then I started having pelvic pain and lower left ovary area pain, which continued throughout the week. When I would push to have a bowel movement it hurts. I really thought I was pregnant. The fullness and achiness reminded me of early pregnancy. My most recent period was three days late. I went in and saw my OB yesterday. He did an exam and a transvaginal ultrasound, and he said everything looked fine. He tried to recreate the pain by touching some spots. Ever since then, my ovary pain on the left has been through the roof. What is going on? I am terrified I have ovarian cancer. Would he have been able to tell yesterday? What else could be going on? It hurts right around the ovary area and in the groin crease area.
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Hi. After undergoing three cesarean sections, it is quite possible to have intra-abdominal adhesions. Which may give rise to intermittent pain associated with the bowel movements. Hope your bowel habits are regular and you do not have a problem of sticky stools. As there are multiple organs inside an abdomen, other causes of such pain should be ruled out. Hope this advice helps you. Take care and get back to me in need. Take care. | Hi doctor,I am a 33 years old female, and I have had three c-sections and normal regular periods. My menstrual cycle three months back was short and lighter, and I ovulated about a week early. I noticed some pain, which almost reminded me of implantation pain. This continued on and off with pain and twinges. I thought maybe I was in early stages of pregnancy. Then I started having pelvic pain and lower left ovary area pain, which continued throughout the week. When I would push to have a bowel movement it hurts. I really thought I was pregnant. The fullness and achiness reminded me of early pregnancy. My most recent period was three days late. I went in and saw my OB yesterday. He did an exam and a transvaginal ultrasound, and he said everything looked fine. He tried to recreate the pain by touching some spots. Ever since then, my ovary pain on the left has been through the roof. What is going on? I am terrified I have ovarian cancer. Would he have been able to tell yesterday? What else could be going on? It hurts right around the ovary area and in the groin crease area. | Hi. After undergoing three cesarean sections, it is quite possible to have intra-abdominal adhesions. Which may give rise to intermittent pain associated with the bowel movements. Hope your bowel habits are regular and you do not have a problem of sticky stools. As there are multiple organs inside an abdomen, other causes of such pain should be ruled out. Hope this advice helps you. Take care and get back to me in need. Take care. |
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Hi doctor,I had unprotected intercourse with my fiance during the first week of last month. Same week, within few days she complained about vomiting sensation but had no vomiting. Immediately the next day she had a little discharge from vagina and a little menstrual cramp. Her last menstrual period was in the last week, two months back. The local gynecologist told it is because of gas and gave an antibiotic tablet, multivitamin syrup and gas related tablet. The following day, early morning she felt headache and a body ache. Is it something to be worried about? Is she pregnant? When do the earliest symptoms of pregnancy come up?
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Hello. These are not pregnancy symptoms, but rather they are symptoms of ovulation with mild abdominal ache, nausea, headache, bloating and thin mucus discharge from vagina. As her last menstrual period (LMP) was in the last week, two months back. So, it is day16 today. Hence in a 30 day cycle, this is the time for ovulation. As you had sex in the first week the following month, still she can be considered in her fertile period and hence an emergency contraceptive is advisable to be taken in 72 hours in your case to prevent pregnancy. However, the earliest you can detect pregnancy would be after 7 days post-intercourse with a serum beta-hCG test. If it shows the level of hCG more than 5 ng/dL then shall confirm pregnancy. Otherwise, she would be pregnancy safe. But, at present these are ovulation signs. Revert back after the test to an obstetrician and gynaecologist online | Hi doctor,I had unprotected intercourse with my fiance during the first week of last month. Same week, within few days she complained about vomiting sensation but had no vomiting. Immediately the next day she had a little discharge from vagina and a little menstrual cramp. Her last menstrual period was in the last week, two months back. The local gynecologist told it is because of gas and gave an antibiotic tablet, multivitamin syrup and gas related tablet. The following day, early morning she felt headache and a body ache. Is it something to be worried about? Is she pregnant? When do the earliest symptoms of pregnancy come up? | Hello. These are not pregnancy symptoms, but rather they are symptoms of ovulation with mild abdominal ache, nausea, headache, bloating and thin mucus discharge from vagina. As her last menstrual period (LMP) was in the last week, two months back. So, it is day16 today. Hence in a 30 day cycle, this is the time for ovulation. As you had sex in the first week the following month, still she can be considered in her fertile period and hence an emergency contraceptive is advisable to be taken in 72 hours in your case to prevent pregnancy. However, the earliest you can detect pregnancy would be after 7 days post-intercourse with a serum beta-hCG test. If it shows the level of hCG more than 5 ng/dL then shall confirm pregnancy. Otherwise, she would be pregnancy safe. But, at present these are ovulation signs. Revert back after the test to an obstetrician and gynaecologist online |
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Hello doctor,My mother aged 55 years got an MRI with an observation of \\intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus region.\\
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Hello, Welcome to Chat Doctor forum. With this report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors will do other routine investigations also like LFT, RFT, hemogram, HIV, Au-Ag, blood group, 2D echo, ECG. All this is to be done and consultation along with clinical examination required for deciding further management of this if to directly go for surgery or not. In that case, the best option is chemotherapy or radiotherapy. But yes, you need to take steps on an urgent basis if the MRI report is like this and you suspect malignancy with some changes. I do not want to over exaggerate this but malignancy can grow way faster than you imagine. The final diagnosis will be after sending for biopsy or HPE (histopathological examination). I do not know why you have done the MRI and what complaints she has, but whatever it is, if this is what the report says, then the above things should be done as soon as possible. For more information consult an obstetrician and gynaecologist online | Hello doctor,My mother aged 55 years got an MRI with an observation of \\intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus region.\\ | Hello, Welcome to Chat Doctor forum. With this report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors will do other routine investigations also like LFT, RFT, hemogram, HIV, Au-Ag, blood group, 2D echo, ECG. All this is to be done and consultation along with clinical examination required for deciding further management of this if to directly go for surgery or not. In that case, the best option is chemotherapy or radiotherapy. But yes, you need to take steps on an urgent basis if the MRI report is like this and you suspect malignancy with some changes. I do not want to over exaggerate this but malignancy can grow way faster than you imagine. The final diagnosis will be after sending for biopsy or HPE (histopathological examination). I do not know why you have done the MRI and what complaints she has, but whatever it is, if this is what the report says, then the above things should be done as soon as possible. For more information consult an obstetrician and gynaecologist online |
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Hi doctor, I am 34 weeks pregnant and my baby\\s choroid plexus cysts did not clear. We did the genetic testing in the early stage of pregnancy and it was negative for trisomy 18 and 21. We had four growth ultrasounds, but no one reported anything else wrong with the baby. I am scared that they did not look well enough. Now we are moving to a different state and the doctor there said that they would have done additional screenings (amniocentesis, talk to a specialist for cysts), but that it is too late now to change anything. She said two cysts (one on each side) are more characteristic of Down syndrome. I have pictures that they gave me from the ultrasounds. Is there anything specific that I can look for on those ultrasound pictures that would indicate trisomy 18 and 21?
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Hello, Welcome to Chat Doctor forum. I was able to see the images and reports. (attachment removed to protect patient identity). Apart from the cysts they have not reported any frank worrying features. The nasal bone and face profile images are not very clear. In Down\\s, the nasal bone may be absent or hypoplastic. The other direct features associated with Down's are hypertelorism or widely spaced eyes which is not seen in your scans. There is no neck fold thickening. Therefore at this stage of pregnancy, I would ask you not to stress out. Just make sure that on your next scan the sonographer is aware of the choroid plexus cysts finding and includes cardiac evaluation and facial evaluation in detail. Take care. | Hi doctor, I am 34 weeks pregnant and my baby\\s choroid plexus cysts did not clear. We did the genetic testing in the early stage of pregnancy and it was negative for trisomy 18 and 21. We had four growth ultrasounds, but no one reported anything else wrong with the baby. I am scared that they did not look well enough. Now we are moving to a different state and the doctor there said that they would have done additional screenings (amniocentesis, talk to a specialist for cysts), but that it is too late now to change anything. She said two cysts (one on each side) are more characteristic of Down syndrome. I have pictures that they gave me from the ultrasounds. Is there anything specific that I can look for on those ultrasound pictures that would indicate trisomy 18 and 21? | Hello, Welcome to Chat Doctor forum. I was able to see the images and reports. (attachment removed to protect patient identity). Apart from the cysts they have not reported any frank worrying features. The nasal bone and face profile images are not very clear. In Down\\s, the nasal bone may be absent or hypoplastic. The other direct features associated with Down's are hypertelorism or widely spaced eyes which is not seen in your scans. There is no neck fold thickening. Therefore at this stage of pregnancy, I would ask you not to stress out. Just make sure that on your next scan the sonographer is aware of the choroid plexus cysts finding and includes cardiac evaluation and facial evaluation in detail. Take care. |
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Hello doctor,Since the beginning of this year, I have noticed a couple of moles on the left side of my head have been very itchy and burning, and when I start to itch them it causes the whole left side of my scalp to burn and feel uncomfortable. I am worried it might be something serious. This year I have also experienced a lot of left side facial pain and numbness, as well as left eye blurriness. So I am not sure if the pain on the left side of my scalp could be related.
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Hi, Welcome to Chat Doctor forum. The ABCD criteria for moles you should be aware to see for malignant changes. One should always look for the change in color, size, margin, the surface of the mole, also if it is associated with itching and bloody discharge. I have reviewed clinical photograph attached (attachment removed to protect patient identity). There are no changes of erythema around mole or discharge. In photographs, there are two moles only. If there is an increase in the number of moles or increase in size, the best would be skin biopsy for histopathology to see for malignant changes. Presently, there is no inflammation also in these two photographs which you have attached to comment on itching sensation which you are experiencing. You should consider an ophthalmologist opinion for the blurring of vision. I do not think personally from these clinical photographs that mole and other symptoms are associated. Physicians opinion should be considered for numbness over one side. If you have any fluid-filled lesions on one side then keep watch for that too. Skin biopsy for histopathology should be done if specifically mole is associated with itching. | Hello doctor,Since the beginning of this year, I have noticed a couple of moles on the left side of my head have been very itchy and burning, and when I start to itch them it causes the whole left side of my scalp to burn and feel uncomfortable. I am worried it might be something serious. This year I have also experienced a lot of left side facial pain and numbness, as well as left eye blurriness. So I am not sure if the pain on the left side of my scalp could be related. | Hi, Welcome to Chat Doctor forum. The ABCD criteria for moles you should be aware to see for malignant changes. One should always look for the change in color, size, margin, the surface of the mole, also if it is associated with itching and bloody discharge. I have reviewed clinical photograph attached (attachment removed to protect patient identity). There are no changes of erythema around mole or discharge. In photographs, there are two moles only. If there is an increase in the number of moles or increase in size, the best would be skin biopsy for histopathology to see for malignant changes. Presently, there is no inflammation also in these two photographs which you have attached to comment on itching sensation which you are experiencing. You should consider an ophthalmologist opinion for the blurring of vision. I do not think personally from these clinical photographs that mole and other symptoms are associated. Physicians opinion should be considered for numbness over one side. If you have any fluid-filled lesions on one side then keep watch for that too. Skin biopsy for histopathology should be done if specifically mole is associated with itching. |
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Hello doctor,I get hypoglycemia during exercise, fasting or not, brain fog, fatigue. This has been happening daily for a month. Prior I had been exercising an hour a day five days a week, no issue. Currently still aiming for five but symptoms will start out on my bike or on the treadmill.I had a gastric bypass 11 years back. I rarely get the hypoglycemia episode when I would eat sugar. History of insulin resistance. Glucose is always under 100. Insulin was 9 six months back. It was 6 two weeks ago, glucose was 88. Ferritin 15, d-20. Currently, I am having Neurontin 800 four times a day, Vyvanse 50 once daily.
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Hello. I just read your query and from what you have mentioned it appears that you have hypoglycemic symptoms. First of all I would suggest that instead of doing finger prick testing of blood sugar it is preferable to do laboratory test for blood sugar. Secondly, there is an inpatient (after admission to the hospital) test to check your blood sugar after fasting for a required number of hours under observation. C-peptide and proinsulin need to be measured as well. All these are inpatient tests to rule out any cause of hypoglycemia. Also, if you exercise it is expected that your blood sugar levels fall even though it is recent probably because you have improved in losing stored fat which was initially preventing this from happening. This can be improved if you eat complex carbohy ChatDoctor. For more information consult an endocrinologist online | Hello doctor,I get hypoglycemia during exercise, fasting or not, brain fog, fatigue. This has been happening daily for a month. Prior I had been exercising an hour a day five days a week, no issue. Currently still aiming for five but symptoms will start out on my bike or on the treadmill.I had a gastric bypass 11 years back. I rarely get the hypoglycemia episode when I would eat sugar. History of insulin resistance. Glucose is always under 100. Insulin was 9 six months back. It was 6 two weeks ago, glucose was 88. Ferritin 15, d-20. Currently, I am having Neurontin 800 four times a day, Vyvanse 50 once daily. | Hello. I just read your query and from what you have mentioned it appears that you have hypoglycemic symptoms. First of all I would suggest that instead of doing finger prick testing of blood sugar it is preferable to do laboratory test for blood sugar. Secondly, there is an inpatient (after admission to the hospital) test to check your blood sugar after fasting for a required number of hours under observation. C-peptide and proinsulin need to be measured as well. All these are inpatient tests to rule out any cause of hypoglycemia. Also, if you exercise it is expected that your blood sugar levels fall even though it is recent probably because you have improved in losing stored fat which was initially preventing this from happening. This can be improved if you eat complex carbohy ChatDoctor. For more information consult an endocrinologist online |
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Hello doctor,I am very light complected with dark red acne scars that I have had for a few years. I have some acne on my cheeks, but the acne scars are more noticeable. I have combination skin I believe because my forehead tends to be super dry to where it peels, and my nose gets oily. After any cleanser, I use my face gets very dry. Which soap do you recommend and could I use castor oil or coconut oil after for the dryness? I heard they are good face moisturizers. Kindly advice.
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Hello, Welcome to Chat Doctor forum. It is essential to avoid oily preparations on the face for acne with combination skin. It tends to develop seborrheic dermatitis. I would not advise any oil for ChatDoctor. It is also advisable to avoid harsh soaps and cleansers. As they remove oil, they can also lead to skin irritation. Acne spots can be reduced by using creams like Biluma at night and sunscreen during the day. Creams do not effectively treat depressed acne scars. You may require chemical peels, micro-needling, or lasers. None Acne, seborrheic dermatitis. 1. Clindamycin gel twice a day for acne.2. A mild cleanser or soap-like Cetaphil 1-2 times a day 3. Aloe Vera containing moisturizer as required. 4. Oral medicines may be required depending on severity. 1. Do not overdo face cleansing.2. Wet wipes can be used if face washing required more than two times a day. Would like to see a picture of the acne and scars for further advice. | Hello doctor,I am very light complected with dark red acne scars that I have had for a few years. I have some acne on my cheeks, but the acne scars are more noticeable. I have combination skin I believe because my forehead tends to be super dry to where it peels, and my nose gets oily. After any cleanser, I use my face gets very dry. Which soap do you recommend and could I use castor oil or coconut oil after for the dryness? I heard they are good face moisturizers. Kindly advice. | Hello, Welcome to Chat Doctor forum. It is essential to avoid oily preparations on the face for acne with combination skin. It tends to develop seborrheic dermatitis. I would not advise any oil for ChatDoctor. It is also advisable to avoid harsh soaps and cleansers. As they remove oil, they can also lead to skin irritation. Acne spots can be reduced by using creams like Biluma at night and sunscreen during the day. Creams do not effectively treat depressed acne scars. You may require chemical peels, micro-needling, or lasers. None Acne, seborrheic dermatitis. 1. Clindamycin gel twice a day for acne.2. A mild cleanser or soap-like Cetaphil 1-2 times a day 3. Aloe Vera containing moisturizer as required. 4. Oral medicines may be required depending on severity. 1. Do not overdo face cleansing.2. Wet wipes can be used if face washing required more than two times a day. Would like to see a picture of the acne and scars for further advice. |
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Hello doctor,I am seeing white stuff in my mouth. I see more in quantity in inner cheeks and gums when I wake up in the morning. It has been four weeks. It can be scraped off using the finger.I consulted a dentist nearby and she told me it might be leukoplakia and it goes away by itself in a few days but it did not. After a few days, I again visited the same dentist and she told me that it might be precancerous and suggested me to apply ghee on gums every night before bed.I tried everything but it does not go away. I see it every morning and evening. I brush my teeth twice a day. I saw a canker sore in my mouth when it started and I also sometimes feel burning sensation after brushing. Please diagnose and help me out.
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Hello, Welcome to Chat Doctor forum. As I can see you can scrape off your lesions, then it will not be leukoplakia because it is thickened, white patches that form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue. These patches cannot be scraped off. So, I will go with the diagnosis of pseudomembranous candidiasis which will have buring sensation and the lesions are scrapable. Do not worry. It is treatable. Candidiasis can be treated with topical anti-fungal ChatDoctor. If these antifungal creams are not available over the counter then you can suggest your dentist to prescribe them. Fungal infection. Secondary syphilis. Antifungal creams. For more information consult a dentist online.- | Hello doctor,I am seeing white stuff in my mouth. I see more in quantity in inner cheeks and gums when I wake up in the morning. It has been four weeks. It can be scraped off using the finger.I consulted a dentist nearby and she told me it might be leukoplakia and it goes away by itself in a few days but it did not. After a few days, I again visited the same dentist and she told me that it might be precancerous and suggested me to apply ghee on gums every night before bed.I tried everything but it does not go away. I see it every morning and evening. I brush my teeth twice a day. I saw a canker sore in my mouth when it started and I also sometimes feel burning sensation after brushing. Please diagnose and help me out. | Hello, Welcome to Chat Doctor forum. As I can see you can scrape off your lesions, then it will not be leukoplakia because it is thickened, white patches that form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue. These patches cannot be scraped off. So, I will go with the diagnosis of pseudomembranous candidiasis which will have buring sensation and the lesions are scrapable. Do not worry. It is treatable. Candidiasis can be treated with topical anti-fungal ChatDoctor. If these antifungal creams are not available over the counter then you can suggest your dentist to prescribe them. Fungal infection. Secondary syphilis. Antifungal creams. For more information consult a dentist online.- |
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Hello doctor,The first day of my last period was on the 2nd of March, it lasted till 6th of March. I had unprotected sex on the 10th of March, but he did not ejaculate inside me but there is a chance that pre-cum may have gotten in. So for safety, I took contraceptive pills (Postinor 2) on the 11th. On the 16th, I noticed light bleeding, and it lasted till 19th. I am yet to see my period for this month. Although, I usually experience irregular menstrual cycles, is it possible I am pregnant? Or has it worsened my case of irregular menstrual cycle?
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Hello, Welcome to ChatDoctor. I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness. See, the emergency contraceptive pills are high doses of progesterone hormone, so at times there can be with ChatDoctor. The effects vary from a person to person. As you already had a history of irregular periods, it is difficult to predict just based on the sequence of events whether you could be pregnant or not. So a definitive test would be to check for a urine pregnancy test, preferably with an early morning urine sample. If that is negative, then you can rest assured that you are not pregnant. And you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods. Regarding your irregular periods, I see that you are slightly overweight for your height. So mostly this could be due to PCOS (polycystic ovary syn | Hello doctor,The first day of my last period was on the 2nd of March, it lasted till 6th of March. I had unprotected sex on the 10th of March, but he did not ejaculate inside me but there is a chance that pre-cum may have gotten in. So for safety, I took contraceptive pills (Postinor 2) on the 11th. On the 16th, I noticed light bleeding, and it lasted till 19th. I am yet to see my period for this month. Although, I usually experience irregular menstrual cycles, is it possible I am pregnant? Or has it worsened my case of irregular menstrual cycle? | Hello, Welcome to ChatDoctor. I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness. See, the emergency contraceptive pills are high doses of progesterone hormone, so at times there can be with ChatDoctor. The effects vary from a person to person. As you already had a history of irregular periods, it is difficult to predict just based on the sequence of events whether you could be pregnant or not. So a definitive test would be to check for a urine pregnancy test, preferably with an early morning urine sample. If that is negative, then you can rest assured that you are not pregnant. And you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods. Regarding your irregular periods, I see that you are slightly overweight for your height. So mostly this could be due to PCOS (polycystic ovary syn |
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Hello doctor,I am male, 43 years old, I was born with cleft palate but it is fine now and I have sinusitis and loss of smell sensation. I took steroids Prednisone nearly two months back and got my smell back but suddenly four days ago now the smell is gone again. Just to let you know I have moderate sleep apnea and using CPAP, I also have some allergy in the nose. I also use a nasal spray, just started like three days ago after stopping for three months.My question is how can I get my smell back? Shall I continue the Avamys Nasal Drops?
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Hello. 1. Your recurrent problem of not able to smell is due to sinusitis and allergy. Once that gets treated smell will come back. But in chronic sinusitis, the smell may or may not come back due to prolong disease. 2. Avamys should be helpful. These steroids sprays reduce inflammation inside our sinuses and nose. For steroid sprays to act in our nose we should have wide sinus openings. To see if you have space in your nose for sprays to act you will have to get plain CT scan of nose and paranasal sinuses done. If your nose is very crowded and infected then you will have to undergo endoscopic sinus surgery which will remove active disease and inflammation. Following surgery, you will have to continue sprays for a few months to avoid recurrence and it will make your nasal mucosa healthy and you will be able to smell. 3. Oral steroids will relieve your symptoms temporarily, but in case of sinusitis we need to treat the disease for a long time. | Hello doctor,I am male, 43 years old, I was born with cleft palate but it is fine now and I have sinusitis and loss of smell sensation. I took steroids Prednisone nearly two months back and got my smell back but suddenly four days ago now the smell is gone again. Just to let you know I have moderate sleep apnea and using CPAP, I also have some allergy in the nose. I also use a nasal spray, just started like three days ago after stopping for three months.My question is how can I get my smell back? Shall I continue the Avamys Nasal Drops? | Hello. 1. Your recurrent problem of not able to smell is due to sinusitis and allergy. Once that gets treated smell will come back. But in chronic sinusitis, the smell may or may not come back due to prolong disease. 2. Avamys should be helpful. These steroids sprays reduce inflammation inside our sinuses and nose. For steroid sprays to act in our nose we should have wide sinus openings. To see if you have space in your nose for sprays to act you will have to get plain CT scan of nose and paranasal sinuses done. If your nose is very crowded and infected then you will have to undergo endoscopic sinus surgery which will remove active disease and inflammation. Following surgery, you will have to continue sprays for a few months to avoid recurrence and it will make your nasal mucosa healthy and you will be able to smell. 3. Oral steroids will relieve your symptoms temporarily, but in case of sinusitis we need to treat the disease for a long time. |
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Hello doctor, I am having an opaque, white discharge at the end of urination and it is painful and burning while urinating, and I feel a sharp pain on the tip of my urethra after urination. When I put pressure on my urethra (penis shaft) it hurts and I also have three inflamed lymph nodes in my right inguinal region, starting at the beginning of the crease. I went to my doctor and gave them a urine sample and tests shown no STI\\s but I am still waiting on my UTI test to be received. I did have unprotected sex but my partner had tested a week before and nothing came up, and also I was her only partner for awhile beforehand. I do have simplex 1 but no symptoms for years. No lesions, rashes or other abnormalities are seen in my genital area. This has been going on for about five days now, had unprotected sex exactly one week ago.
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Hello. From the clinical description, I can say with confidence that the symptoms clearly indicate toward UTI (urinary tract infection) and particularly urethritis. There is no symptom that indicates toward STI (sexually transmitted infection) other than the history of unprotected sex one week back. That is also can be considered negative as your partner have no evidence of infection. Please visit your doctor and ask for an antibiotic prescription. I understand that reports are awaited but in my view, empirical prescription should be offered as you are having significant symptoms to compromise function and add unnecessary stress. Last but not least focus on treatment now but avoid taking the risk (unprotected sex) as far as possible. I hope this helps. Take care. | Hello doctor, I am having an opaque, white discharge at the end of urination and it is painful and burning while urinating, and I feel a sharp pain on the tip of my urethra after urination. When I put pressure on my urethra (penis shaft) it hurts and I also have three inflamed lymph nodes in my right inguinal region, starting at the beginning of the crease. I went to my doctor and gave them a urine sample and tests shown no STI\\s but I am still waiting on my UTI test to be received. I did have unprotected sex but my partner had tested a week before and nothing came up, and also I was her only partner for awhile beforehand. I do have simplex 1 but no symptoms for years. No lesions, rashes or other abnormalities are seen in my genital area. This has been going on for about five days now, had unprotected sex exactly one week ago. | Hello. From the clinical description, I can say with confidence that the symptoms clearly indicate toward UTI (urinary tract infection) and particularly urethritis. There is no symptom that indicates toward STI (sexually transmitted infection) other than the history of unprotected sex one week back. That is also can be considered negative as your partner have no evidence of infection. Please visit your doctor and ask for an antibiotic prescription. I understand that reports are awaited but in my view, empirical prescription should be offered as you are having significant symptoms to compromise function and add unnecessary stress. Last but not least focus on treatment now but avoid taking the risk (unprotected sex) as far as possible. I hope this helps. Take care. |
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Hello doctor,My baby is 4 weeks old. I fed her a combination of breast milk and formula milk. I changed her formula to enfalac from friscolac slowly, and started solely on enfalac yesterday afternoon. I changed the milk (upon consulting with the pediatric clinic) because she was having constipation and gassy stomach. My baby had watery stool once yesterday and today (only after being completely on enfalac). She also is quite gassy (most days than not) and gets upset with it (cries last about 10 minutes). My worry is that if she is okay and, does the enfalac formula milk agree with her or she struggling with something else. I had to add formula milk due to insufficient supply of breast milk.
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Hi, Welcome to Chat Doctor forum. Breast milk is definitely best and first choice but as it is insufficient and you need to supplement with formula feeds, all these formula milk are cow\\s milk. It is not clear from your query- which Enfalac formula you are giving as there are so many different types and also in the powder form and in ready to feed one. Watch it with the same formula milk for next 24 hours, feed more on breast feeding, and keep a watch on urine output. It may settle down slowly. If not then get, stool test - routine analysis, give Pedialyte - 15- 20 ml after each loose motion (give as small small sips), and better to give a milk formula which is HA (hypoallergic) like Similac or Nan or any other. | Hello doctor,My baby is 4 weeks old. I fed her a combination of breast milk and formula milk. I changed her formula to enfalac from friscolac slowly, and started solely on enfalac yesterday afternoon. I changed the milk (upon consulting with the pediatric clinic) because she was having constipation and gassy stomach. My baby had watery stool once yesterday and today (only after being completely on enfalac). She also is quite gassy (most days than not) and gets upset with it (cries last about 10 minutes). My worry is that if she is okay and, does the enfalac formula milk agree with her or she struggling with something else. I had to add formula milk due to insufficient supply of breast milk. | Hi, Welcome to Chat Doctor forum. Breast milk is definitely best and first choice but as it is insufficient and you need to supplement with formula feeds, all these formula milk are cow\\s milk. It is not clear from your query- which Enfalac formula you are giving as there are so many different types and also in the powder form and in ready to feed one. Watch it with the same formula milk for next 24 hours, feed more on breast feeding, and keep a watch on urine output. It may settle down slowly. If not then get, stool test - routine analysis, give Pedialyte - 15- 20 ml after each loose motion (give as small small sips), and better to give a milk formula which is HA (hypoallergic) like Similac or Nan or any other. |
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Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux.I am currently on Montelukast, Advair and Omeprazole.
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Hello, Welcome to Chat Doctor forum. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. | Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux.I am currently on Montelukast, Advair and Omeprazole. | Hello, Welcome to Chat Doctor forum. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. |
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Hello doctor,I recently tested positive for HIV and had a viral load test which was 160k and CD4 count of 145. My issue now is with how I could have contracted the virus. I have had three sexual partners and there was always protection. Two tested negatives after I informed them about my results and the last and most recent is insisting he is not ready and it was protected all the way. Although we did have anal at times and I cannot be 100 % sure that the condom was there. I have also had a parasitic infection which affects my scalp for a couple of years. Is it possible for something to mimic HIV in tests? I have been to the dentist thrice in all my life for an extraction and checkups. I also had an appendicectomy 13 years back. I have had occasional IV therapy and a few injections. I have never shown any symptoms. I am also anemic.
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Hi. For condoms to be effective, it has to be a latex condom used consistently and correctively and a newer condom for each sexual act. There should not be any break or it should not have slipped off during the act. If all the steps had been followed, then only it is said that 98 to 99 % effective in the prevention of STI and HIV. Unfortunately, condoms are not used properly resulting in failure rates. The tests which you underwent for HIV are highly sensitive and specific. There is no chance of mimicking any other infection. You need to initiate antiretroviral therapy as soon as possible. It is a really effective therapy. | Hello doctor,I recently tested positive for HIV and had a viral load test which was 160k and CD4 count of 145. My issue now is with how I could have contracted the virus. I have had three sexual partners and there was always protection. Two tested negatives after I informed them about my results and the last and most recent is insisting he is not ready and it was protected all the way. Although we did have anal at times and I cannot be 100 % sure that the condom was there. I have also had a parasitic infection which affects my scalp for a couple of years. Is it possible for something to mimic HIV in tests? I have been to the dentist thrice in all my life for an extraction and checkups. I also had an appendicectomy 13 years back. I have had occasional IV therapy and a few injections. I have never shown any symptoms. I am also anemic. | Hi. For condoms to be effective, it has to be a latex condom used consistently and correctively and a newer condom for each sexual act. There should not be any break or it should not have slipped off during the act. If all the steps had been followed, then only it is said that 98 to 99 % effective in the prevention of STI and HIV. Unfortunately, condoms are not used properly resulting in failure rates. The tests which you underwent for HIV are highly sensitive and specific. There is no chance of mimicking any other infection. You need to initiate antiretroviral therapy as soon as possible. It is a really effective therapy. |
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im a 14 year old child . My concern is that i only have 24 set of teeth , 1 is growing at the back but i only have 13 baby teeth and 11 are permanent teeth . To be add on , i have doubling rows since three years back, and have gotten it out last year but it is still hasnt come back to its place because of the lack of space . My teeth are a mess , i want to get braces but i have so many baby teeth . I dont know what to do please help me
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Hello, Welcome to ChatDoctor This is your Dentist - First of all you will be needing an OPG, its a full mouth view xray , extraction of the decidious teeths as found in the Xray will be done. Now its turn to see where those impacted permanent tooths are present . Hopefully they will errupt a bit late , but they have no tendenxy to erupts they will be removed. If needed ortho treatment at 16 years of age (minimum) So for now Get to your Dentist get an Opg done and get all those baby tooths extracted. You can also upload the xray to me so I can assist you more. You are a good kid , donot worry ... am here to help you when even you need . Focus on your grades . Avoid too much sweet food or chochlates or sticky foods . Brush twice and donot forget to rinse. Your teeth will be fine dont worry . If possible upload the xray image for me to look at . Have a good day . Thanks alot. | im a 14 year old child . My concern is that i only have 24 set of teeth , 1 is growing at the back but i only have 13 baby teeth and 11 are permanent teeth . To be add on , i have doubling rows since three years back, and have gotten it out last year but it is still hasnt come back to its place because of the lack of space . My teeth are a mess , i want to get braces but i have so many baby teeth . I dont know what to do please help me | Hello, Welcome to ChatDoctor This is your Dentist - First of all you will be needing an OPG, its a full mouth view xray , extraction of the decidious teeths as found in the Xray will be done. Now its turn to see where those impacted permanent tooths are present . Hopefully they will errupt a bit late , but they have no tendenxy to erupts they will be removed. If needed ortho treatment at 16 years of age (minimum) So for now Get to your Dentist get an Opg done and get all those baby tooths extracted. You can also upload the xray to me so I can assist you more. You are a good kid , donot worry ... am here to help you when even you need . Focus on your grades . Avoid too much sweet food or chochlates or sticky foods . Brush twice and donot forget to rinse. Your teeth will be fine dont worry . If possible upload the xray image for me to look at . Have a good day . Thanks alot. |
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Hello doctor,My husband is away from the past one and half years due to his work. I visited him for 15 days. I had my normal periods there on the 31st of last month. Since I got a bit anxious about getting pregnant, I had four I-pills in these two weeks for protection. I then returned back on the 15th of this month. I had very scanty periods between the 24th to the 28th. And that is it. I had no periods after that until today. I have checked for pregnancy four times and it always showed negative. I do not have any pregnancy symptoms as well. I am leading a normal life. At times, I feel some cramps in the lower part of my stomach. I have already visited my doctor. She suggested I take Regestrone 5 mg, two tablets a day for five days. But, I still did not get my periods. Kindly advice me for the same.
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Hello, Welcome to Chat Doctor forum. After you have finished taking tablet Regestrone (Norethisterone), you will have to wait for 15 days to get your periods. If you do not get it in 15 days, you have to repeat the urine pregnancy test and visit your gynecologist. Please do not take emergency contraceptive pills so casually. It is not to be used as a regular method of contraception and it is not to be used more than once a month. Have patience. Everything is gonna be alright. For more information consult an obstetrician and gynaecologist online | Hello doctor,My husband is away from the past one and half years due to his work. I visited him for 15 days. I had my normal periods there on the 31st of last month. Since I got a bit anxious about getting pregnant, I had four I-pills in these two weeks for protection. I then returned back on the 15th of this month. I had very scanty periods between the 24th to the 28th. And that is it. I had no periods after that until today. I have checked for pregnancy four times and it always showed negative. I do not have any pregnancy symptoms as well. I am leading a normal life. At times, I feel some cramps in the lower part of my stomach. I have already visited my doctor. She suggested I take Regestrone 5 mg, two tablets a day for five days. But, I still did not get my periods. Kindly advice me for the same. | Hello, Welcome to Chat Doctor forum. After you have finished taking tablet Regestrone (Norethisterone), you will have to wait for 15 days to get your periods. If you do not get it in 15 days, you have to repeat the urine pregnancy test and visit your gynecologist. Please do not take emergency contraceptive pills so casually. It is not to be used as a regular method of contraception and it is not to be used more than once a month. Have patience. Everything is gonna be alright. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120 and bradycardia with up to two seven second pauses per night, but it was stable before one year. My ejection fraction is normal (60%). I have booked to have an ablation. Could you please describe what is the level of risk to life of such serious dilations, and what can be done to get them back to normal?
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Hello, Welcome to Chat Doctor forum. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism producing a stroke. We normally perform transesophageal echocardiogram to rule out the presence of thrombus before considering for DCC (direct current cardioversion). So if the size is more than 4.5 cms and some consider more than 5.5 cms there is a need for anticoagulation (blood thinners) to prevent thte stroke. Some may consider left atrial appendage closure device or surgical removal so that the chance of stroke decreases. So you need to discuss these issues with your consultant cardiologist who is planning ablation. I hope this helps. | Hello doctor,I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120 and bradycardia with up to two seven second pauses per night, but it was stable before one year. My ejection fraction is normal (60%). I have booked to have an ablation. Could you please describe what is the level of risk to life of such serious dilations, and what can be done to get them back to normal? | Hello, Welcome to Chat Doctor forum. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism producing a stroke. We normally perform transesophageal echocardiogram to rule out the presence of thrombus before considering for DCC (direct current cardioversion). So if the size is more than 4.5 cms and some consider more than 5.5 cms there is a need for anticoagulation (blood thinners) to prevent thte stroke. Some may consider left atrial appendage closure device or surgical removal so that the chance of stroke decreases. So you need to discuss these issues with your consultant cardiologist who is planning ablation. I hope this helps. |
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Hello doctor,I want your opinion on the symptoms I am experiencing. I am a 73-year-old female with 8.4 kilos, and height 5\\3\". I have been trying to fast during the day for the last two weeks. But have been taking an optimum diet shake in 250 ml morning and afternoon, and having a main meal in the evening. My weight when I started this diet was approximately 9.4 kilos.I am taking medically prescribed tablets for cholesterol, for high blood pressure (Olmetec), and Sertraline for chemical imbalance (depression). None of these is a high dose. However, over the last six to eight hours, I have been experiencing some degree of heart palpitations and feeling unwell. I have been trying to stay cool indoors and decided to snack on some salty biscuits with salty cheese. This did help somewhat, but the heart palpitations, although not severe, are still noticeable, with a little pain when taking deep breaths. I do not want to go to the hospital but would appreciate some advice regarding these symptoms.
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Hello.I read your symptoms and as far as losing weight is concerned fasting is the worst way to do that. But symptoms like these should not be overlooked, and you should visit a nearby hospital. Looking at your symptoms and the history that you provided it looks like as a hypoglycemic and hypotensive attack which happens when required amount of glucose does not reach the brain, and you might have felt unwell, and palpitations can be the presentation of that. From the ChatDoctor. Take care. | Hello doctor,I want your opinion on the symptoms I am experiencing. I am a 73-year-old female with 8.4 kilos, and height 5\\3\". I have been trying to fast during the day for the last two weeks. But have been taking an optimum diet shake in 250 ml morning and afternoon, and having a main meal in the evening. My weight when I started this diet was approximately 9.4 kilos.I am taking medically prescribed tablets for cholesterol, for high blood pressure (Olmetec), and Sertraline for chemical imbalance (depression). None of these is a high dose. However, over the last six to eight hours, I have been experiencing some degree of heart palpitations and feeling unwell. I have been trying to stay cool indoors and decided to snack on some salty biscuits with salty cheese. This did help somewhat, but the heart palpitations, although not severe, are still noticeable, with a little pain when taking deep breaths. I do not want to go to the hospital but would appreciate some advice regarding these symptoms. | Hello.I read your symptoms and as far as losing weight is concerned fasting is the worst way to do that. But symptoms like these should not be overlooked, and you should visit a nearby hospital. Looking at your symptoms and the history that you provided it looks like as a hypoglycemic and hypotensive attack which happens when required amount of glucose does not reach the brain, and you might have felt unwell, and palpitations can be the presentation of that. From the ChatDoctor. Take care. |
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Hello doctor,I am a 21-year-old homosexual male. I am not sexually active. However, I kissed someone for 30 minutes. He told me he was healthy. However, I am not sure of his HIV status or if he was on any medications. I suffered mild gingivitis after the event, however, I brushed an hour before. I did not have any noticeable bleeding. I am extremely worried that I could have contracted HIV from the other person\\s mouth if he had gingivitis. I am so concerned I am taking a rapid HIV test tomorrow which makes the exposure four weeks old. I am on antibiotics for my gingivitis which has now cleared up. I am not sure if it was gingivitis or a throat infection as I was able to bring the tiny spectacles of blood from my throat though now it is gone. Please help.
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Hello, Welcome to Chat Doctor forum. Firstly, your risk is unwarranted in this case. To the best of my knowledge, as per published literature, there is no case reported of HIV (human immunodeficiency virus) through kissing. Saliva itself has very low concentrations of HIV and also contains anti-HIV factors that prevent transmission. However, theoretically, there can be a risk if there is a presence of blood in the mouth of the other person like in the case if there is an active bleeding gums or sores or ulcers. It is good that your HIV test result at four weeks of exposure is negative. I suggest you get a confirmatory test at three months of last exposure. For more information consult an HIV AIDS specialist online | Hello doctor,I am a 21-year-old homosexual male. I am not sexually active. However, I kissed someone for 30 minutes. He told me he was healthy. However, I am not sure of his HIV status or if he was on any medications. I suffered mild gingivitis after the event, however, I brushed an hour before. I did not have any noticeable bleeding. I am extremely worried that I could have contracted HIV from the other person\\s mouth if he had gingivitis. I am so concerned I am taking a rapid HIV test tomorrow which makes the exposure four weeks old. I am on antibiotics for my gingivitis which has now cleared up. I am not sure if it was gingivitis or a throat infection as I was able to bring the tiny spectacles of blood from my throat though now it is gone. Please help. | Hello, Welcome to Chat Doctor forum. Firstly, your risk is unwarranted in this case. To the best of my knowledge, as per published literature, there is no case reported of HIV (human immunodeficiency virus) through kissing. Saliva itself has very low concentrations of HIV and also contains anti-HIV factors that prevent transmission. However, theoretically, there can be a risk if there is a presence of blood in the mouth of the other person like in the case if there is an active bleeding gums or sores or ulcers. It is good that your HIV test result at four weeks of exposure is negative. I suggest you get a confirmatory test at three months of last exposure. For more information consult an HIV AIDS specialist online |
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Hello doctor,My wife\\s last period date was two months ago. After one month, we came to know through blood tests that she is pregnant. She had her first ultrasound 10 days ago and the baby is fine at five weeks and five days with a heartbeat of 114. But for the last three to four days, she saw some blood in her urine. Today, there was some flow like a period and we consulted the doctor.We did an ultrasound today. They could not find the baby\\s heartbeat. So, we did blood tests. My wife is under a lot of stress because of bleeding and no heartbeat. Does this mean, she has got a miscarriage? Do we still have a hope to revive her pregnancy?
### Response:
Hello, Welcome to Chat Doctor forum. If a repeat ultrasound shows no heartbeat then she has experienced a missed abortion. This means that after the arrival of the heartbeat, the heart has stopped and the fetus is no more alive and not growing. The bleeding is nature\\s way of aborting the non-developing fetus. This can happen because of possible congenital abnormalities or chromosomal abnormalities in the conceptual, which was deemed naturally unfit for further survival. The initial heartbeat of 114 BPM (beats per minute) was itself low. Ideally, it should have been more than 130 in a real fetus. The bleeding may continue for a week until she aborts completely. You may repeat the ultrasound again after a week to check for completion of miscarriage if the bleeding does not stop. For more information consult an obstetrician and gynaecologist online | Hello doctor,My wife\\s last period date was two months ago. After one month, we came to know through blood tests that she is pregnant. She had her first ultrasound 10 days ago and the baby is fine at five weeks and five days with a heartbeat of 114. But for the last three to four days, she saw some blood in her urine. Today, there was some flow like a period and we consulted the doctor.We did an ultrasound today. They could not find the baby\\s heartbeat. So, we did blood tests. My wife is under a lot of stress because of bleeding and no heartbeat. Does this mean, she has got a miscarriage? Do we still have a hope to revive her pregnancy? | Hello, Welcome to Chat Doctor forum. If a repeat ultrasound shows no heartbeat then she has experienced a missed abortion. This means that after the arrival of the heartbeat, the heart has stopped and the fetus is no more alive and not growing. The bleeding is nature\\s way of aborting the non-developing fetus. This can happen because of possible congenital abnormalities or chromosomal abnormalities in the conceptual, which was deemed naturally unfit for further survival. The initial heartbeat of 114 BPM (beats per minute) was itself low. Ideally, it should have been more than 130 in a real fetus. The bleeding may continue for a week until she aborts completely. You may repeat the ultrasound again after a week to check for completion of miscarriage if the bleeding does not stop. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I am a 54-year-old woman. Around four to five months, I have been experiencing heavy hair fall in the frontal and lateral region. Since the past one year, I am also experiencing thyroid conditions (hypothyroid 6.40) along with stress and menopause (menopause onset was seven months before). I can notice new hair follicles but very less in number compared to hair fall (more than 100 at times).I have taken multivitamin tablets for a month. Now, I am taking menopause tablets. I have been applying onion, aloe vera, and ginger oil for the past two to three months. Also, I am consuming yogurt, milk, dry fruits. Kindly suggest some measures to arrest the hair fall and initiate hair growth. Also, suggest dietary restrictions and additions if any. I am a housewife and mainly do household chores, though nothing significant.
### Response:
Hello, Welcome to Chat Doctor forum. I understand your concern. Thyroid issues and stress causes hair to fall. Please send me images of your scalp to assess your hair loss better and help you accordingly. Meanwhile, you can start using this. Kindly consult your doctor to discuss and take the treatment with consent. 1. Anaboom anti-hair fall serum on the scalp once a day. 2. Tablet Keraglo Eva once a day. 3. Keraglo-AD shampoo thrice a week apply on the hair for 10 mins and wash off. Also, get the following tests done 1. Hemoglobin. 2. Serum ferritin. 3. Vitamin D levels. | Hello doctor,I am a 54-year-old woman. Around four to five months, I have been experiencing heavy hair fall in the frontal and lateral region. Since the past one year, I am also experiencing thyroid conditions (hypothyroid 6.40) along with stress and menopause (menopause onset was seven months before). I can notice new hair follicles but very less in number compared to hair fall (more than 100 at times).I have taken multivitamin tablets for a month. Now, I am taking menopause tablets. I have been applying onion, aloe vera, and ginger oil for the past two to three months. Also, I am consuming yogurt, milk, dry fruits. Kindly suggest some measures to arrest the hair fall and initiate hair growth. Also, suggest dietary restrictions and additions if any. I am a housewife and mainly do household chores, though nothing significant. | Hello, Welcome to Chat Doctor forum. I understand your concern. Thyroid issues and stress causes hair to fall. Please send me images of your scalp to assess your hair loss better and help you accordingly. Meanwhile, you can start using this. Kindly consult your doctor to discuss and take the treatment with consent. 1. Anaboom anti-hair fall serum on the scalp once a day. 2. Tablet Keraglo Eva once a day. 3. Keraglo-AD shampoo thrice a week apply on the hair for 10 mins and wash off. Also, get the following tests done 1. Hemoglobin. 2. Serum ferritin. 3. Vitamin D levels. |
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Hi doctor,For the past couple of days, I have been having left side pelvic tenderness. It does not hurt very much When I lay down or stand up, but hurts when touched, especially if pushed down or put any pressure on that area. The pain is right in the area next to my left hip bone. I do not know why this pain is happening and I have never experienced anything like it before. My period was due and I am a few days late this time. I have not tested for pregnancy yet. Today I started spotting some pink discharge and a very small amount red blood. It was not in the underwear and I found it only when I wipe. I am getting concerned and do not know what is going on. Could this just be early pregnancy? Or is it something worse?
### Response:
Hi. Well, firstly I would like you to get a blood test done to rule out pregnancy. It is serum beta hCG. You must also get a vaginal ultrasound done urgently. The reason I am asking for these tests is either you could be having these symptoms because of an ectopic pregnancy or an ovarian cyst. The pain may be an indication of the process of either expelling out from one side of the tube or rupturing and thinning of the tube. The more serious of the two situations is the possibility of ectopic pregnancy, which can be ruled out by the tests. If it is a cyst, then it can usually be made out by an ultrasound. I urge you to take these steps and let me know. Revert back with the reports to an obstetrician and gynaecologist online | Hi doctor,For the past couple of days, I have been having left side pelvic tenderness. It does not hurt very much When I lay down or stand up, but hurts when touched, especially if pushed down or put any pressure on that area. The pain is right in the area next to my left hip bone. I do not know why this pain is happening and I have never experienced anything like it before. My period was due and I am a few days late this time. I have not tested for pregnancy yet. Today I started spotting some pink discharge and a very small amount red blood. It was not in the underwear and I found it only when I wipe. I am getting concerned and do not know what is going on. Could this just be early pregnancy? Or is it something worse? | Hi. Well, firstly I would like you to get a blood test done to rule out pregnancy. It is serum beta hCG. You must also get a vaginal ultrasound done urgently. The reason I am asking for these tests is either you could be having these symptoms because of an ectopic pregnancy or an ovarian cyst. The pain may be an indication of the process of either expelling out from one side of the tube or rupturing and thinning of the tube. The more serious of the two situations is the possibility of ectopic pregnancy, which can be ruled out by the tests. If it is a cyst, then it can usually be made out by an ultrasound. I urge you to take these steps and let me know. Revert back with the reports to an obstetrician and gynaecologist online |
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Hi doctor,I am an 18 year old girl. I have been feeling very weak and tired. I am not getting sleep during the night and so I sleep throughout the day and wake up in the evening. I smoke and drink. Last weekend, I felt horribly sick after drinking. I get major headaches at times on the right side of the corner of my head. I have completely reduced smoking as I feel nauseous after I smoke. I got typhoid and dengue before seven months. I had jaundice 4 years back and since then I get pain in my stomach if I dance or run. I want to get healthier. My weight is 44 kg and my face has literally gone including dark circles. My eating habits are pretty bad and I eat after long hours. I really want to get healthy and look better. I want to have stamina as I have become very weak. I used to workout at the gym, but I would feel sick all the time during that phase. Please guide me. And yes, I go through horrible pain during my periods and I go through bad PMS phase. Thank you.
### Response:
Hello. Thank you for the detailed history. CBC (complete blood count), liver and kidney function test, electrolytes, vitamin D and vitamin B12 level, TSH (thyroid-stimulating hormone) and anti-HIV antibodies. I suggest Vitamin B12 1000 mcg daily and Vitamin D 5000 IU daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online.- | Hi doctor,I am an 18 year old girl. I have been feeling very weak and tired. I am not getting sleep during the night and so I sleep throughout the day and wake up in the evening. I smoke and drink. Last weekend, I felt horribly sick after drinking. I get major headaches at times on the right side of the corner of my head. I have completely reduced smoking as I feel nauseous after I smoke. I got typhoid and dengue before seven months. I had jaundice 4 years back and since then I get pain in my stomach if I dance or run. I want to get healthier. My weight is 44 kg and my face has literally gone including dark circles. My eating habits are pretty bad and I eat after long hours. I really want to get healthy and look better. I want to have stamina as I have become very weak. I used to workout at the gym, but I would feel sick all the time during that phase. Please guide me. And yes, I go through horrible pain during my periods and I go through bad PMS phase. Thank you. | Hello. Thank you for the detailed history. CBC (complete blood count), liver and kidney function test, electrolytes, vitamin D and vitamin B12 level, TSH (thyroid-stimulating hormone) and anti-HIV antibodies. I suggest Vitamin B12 1000 mcg daily and Vitamin D 5000 IU daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online.- |
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Hello doctor,I am not sexually active, and a few months back, I tried boxer without washing it and got a pimple on the penis, took antibiotic cream, and it went off in three weeks. It did not hurt me. A few months later, I have got another pimple in penis, did herpes test, and the IgG was 3.80 positive and IgM was 0.935 equivocal, and the swab was positive. It did not hurt me but took a month to go. Two months later, I got a bunch of small blisters, and the doctor recommended to take antiviral pills for five days.My question is, as it never hurt me, will it in the future? Also, will it get worse or better?Does suppresive therapy work? How long will it take?
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Hello. A most common symptom of herpes is the burning sensation. Sometimes this is masked too. There is a high possibility that if you get it again, you might have a burning sensation. But every patient has his resistance, and response is different. For acute reactions, antivirals are given for five to seven days depending upon clinical presentation. But for chronic cases in which patients have repeated infections, prophylactic treatment is given for six months to one year. In my opinion, it works to relieve your presentation. So it will help you and will not make the situation worse. It is important to take antiviral therapy even if you do not have any symptoms because vesicles are highly infectious and contain millions of viral particles, and you could transmit to others. So it is better to get treated. | Hello doctor,I am not sexually active, and a few months back, I tried boxer without washing it and got a pimple on the penis, took antibiotic cream, and it went off in three weeks. It did not hurt me. A few months later, I have got another pimple in penis, did herpes test, and the IgG was 3.80 positive and IgM was 0.935 equivocal, and the swab was positive. It did not hurt me but took a month to go. Two months later, I got a bunch of small blisters, and the doctor recommended to take antiviral pills for five days.My question is, as it never hurt me, will it in the future? Also, will it get worse or better?Does suppresive therapy work? How long will it take? | Hello. A most common symptom of herpes is the burning sensation. Sometimes this is masked too. There is a high possibility that if you get it again, you might have a burning sensation. But every patient has his resistance, and response is different. For acute reactions, antivirals are given for five to seven days depending upon clinical presentation. But for chronic cases in which patients have repeated infections, prophylactic treatment is given for six months to one year. In my opinion, it works to relieve your presentation. So it will help you and will not make the situation worse. It is important to take antiviral therapy even if you do not have any symptoms because vesicles are highly infectious and contain millions of viral particles, and you could transmit to others. So it is better to get treated. |
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Hello doctor,I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection.I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test.
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Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone\\s window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months. Take care. | Hello doctor,I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection.I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test. | Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone\\s window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months. Take care. |
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Hello doctor,I am a 25-year-old male. My bpm is 31 during physical and mental exhaustion but my bpm is high of about 178 during hyperventilation and has pointless frustration. My bpm from rest to stand increases by at least 30 points but averages a 50 point increase. My resting bpm is 40, and upon standing it increases to 90 and peaks up to 110.I had done an echo cardiogram and EKG. I feel light-headed upon standing, along with sudden pulsation, headache and muscle spasms. I feel blackout, syncope, and fainting. I had spontaneous jolt, breathless, palpitations, flutters, fatigue, chills and skin rash on the back of hands.My mental disturbances include confusion, inability to maintain thoughts. I also feel pointless random irritability, ankle pain, random lapse of balance, throbbing extremities, vibrating vision, burning sensation, social anxiety, depression, irritating bowl movements, no appetite and chest discomfort.I wast told to mention the possibility of autonomic dysfunction as its often times overlooked.
### Response:
Hello. The symptoms you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the ChatDoctor. Since your ECG and echo tests are normal, I would advise you to get some blood work done like, a serum electrolytes test to see if there is any hyponatremia or hyperkalemia. Also a urine test for 24 hours urinary collection of catecholamines. Both of these tests would indicate a disorder of the a | Hello doctor,I am a 25-year-old male. My bpm is 31 during physical and mental exhaustion but my bpm is high of about 178 during hyperventilation and has pointless frustration. My bpm from rest to stand increases by at least 30 points but averages a 50 point increase. My resting bpm is 40, and upon standing it increases to 90 and peaks up to 110.I had done an echo cardiogram and EKG. I feel light-headed upon standing, along with sudden pulsation, headache and muscle spasms. I feel blackout, syncope, and fainting. I had spontaneous jolt, breathless, palpitations, flutters, fatigue, chills and skin rash on the back of hands.My mental disturbances include confusion, inability to maintain thoughts. I also feel pointless random irritability, ankle pain, random lapse of balance, throbbing extremities, vibrating vision, burning sensation, social anxiety, depression, irritating bowl movements, no appetite and chest discomfort.I wast told to mention the possibility of autonomic dysfunction as its often times overlooked. | Hello. The symptoms you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the ChatDoctor. Since your ECG and echo tests are normal, I would advise you to get some blood work done like, a serum electrolytes test to see if there is any hyponatremia or hyperkalemia. Also a urine test for 24 hours urinary collection of catecholamines. Both of these tests would indicate a disorder of the a |
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Hello doctor,Two years ago, I was one of the top students I had unexpected traumatic events with my study at university. After that, I had a tough time struggling with my life. Feeling hopeless and helpless, worthless, and I want to withdraw my self from life, but I do not know how? Please help a month ago, I had been diagnosed with depression and anxiety, and I am taking medication, but it did not work. I have social withdrawal, loss of interest, loss of appetite, sleep distribution, digestive problem, and difficulty in breathing.
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Hello. I completely understand that you feel depressed and anxious due to past experiences in life. Stressors, traumatic, negative experiences, failure or losses in life. Major depressive disorder with anxious distress (DSM-5 for professionals). As you have mentioned about your current state of depression and anxiety, and the use of medicines has not been proven effective for you, it clearly indicates the need for psychotherapy.Research has shown that cognitive behavior therapy (CBT) is the best treatment for long term effects and complete remission of depression and anxiety disorders.You are strongly recommended to take psychotherapy sessions from a psychologist.During the session, you will learn coping strategies to effectively deal with traumatic life experiences, to increase your academic performance, and to enhance daily life functioning. Do consult with a psychologist at your earliest. Research has shown that people who take CBT at the initial stage when symptoms arise, they have more chances of improvement and fewer chances of the depressive episode again in life. Whereas, delay in treatment may worsen the symptoms and there are more chances that depressive episode may occur again. | Hello doctor,Two years ago, I was one of the top students I had unexpected traumatic events with my study at university. After that, I had a tough time struggling with my life. Feeling hopeless and helpless, worthless, and I want to withdraw my self from life, but I do not know how? Please help a month ago, I had been diagnosed with depression and anxiety, and I am taking medication, but it did not work. I have social withdrawal, loss of interest, loss of appetite, sleep distribution, digestive problem, and difficulty in breathing. | Hello. I completely understand that you feel depressed and anxious due to past experiences in life. Stressors, traumatic, negative experiences, failure or losses in life. Major depressive disorder with anxious distress (DSM-5 for professionals). As you have mentioned about your current state of depression and anxiety, and the use of medicines has not been proven effective for you, it clearly indicates the need for psychotherapy.Research has shown that cognitive behavior therapy (CBT) is the best treatment for long term effects and complete remission of depression and anxiety disorders.You are strongly recommended to take psychotherapy sessions from a psychologist.During the session, you will learn coping strategies to effectively deal with traumatic life experiences, to increase your academic performance, and to enhance daily life functioning. Do consult with a psychologist at your earliest. Research has shown that people who take CBT at the initial stage when symptoms arise, they have more chances of improvement and fewer chances of the depressive episode again in life. Whereas, delay in treatment may worsen the symptoms and there are more chances that depressive episode may occur again. |
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Hello doctor,I have abdominal pain during urination for two days. And also having pain in abdomen lower part during sex. And after that only, I am having pain and burning sensation during urination. And also I have to go urgently for urination. I am frequently going. I already had this experience for two months. And it lasts up to four days. It gradually reduced.Why am I having this? In the future, what are the risks and causes because of getting like this. Is there any effect on pregnancy in the future? I want to cure this permanently. What should I have to do? What food I have to take? I do not want to visit the hospital for this problem. Please suggest a full solution to this problem. Please prescribe if any medicines are there. I want to get rid of this permanently. Please help.
### Response:
Hello, Welcome to Chat Doctor forum. This is most likely due to urinary tract infection. There is no risk of getting stressed due to that. UTI can occur in any female, but the risk increases after sex. But that does not mean that you should not visit a doctor. You can visit a doctor with complaints of burning micturition and for the pain in the abdomen. If you do not want to disclose your sexual history, that is your decision, urine analysis should be done to rule out infection. Antibiotic course with some precautions like avoiding sex during treatment, having plenty of water will help to improve the infection. This will not cause any risk or complications in the future if you take proper treatment. Remain relaxed. Antibiotics cannot be prescribed online due to legal problems. | Hello doctor,I have abdominal pain during urination for two days. And also having pain in abdomen lower part during sex. And after that only, I am having pain and burning sensation during urination. And also I have to go urgently for urination. I am frequently going. I already had this experience for two months. And it lasts up to four days. It gradually reduced.Why am I having this? In the future, what are the risks and causes because of getting like this. Is there any effect on pregnancy in the future? I want to cure this permanently. What should I have to do? What food I have to take? I do not want to visit the hospital for this problem. Please suggest a full solution to this problem. Please prescribe if any medicines are there. I want to get rid of this permanently. Please help. | Hello, Welcome to Chat Doctor forum. This is most likely due to urinary tract infection. There is no risk of getting stressed due to that. UTI can occur in any female, but the risk increases after sex. But that does not mean that you should not visit a doctor. You can visit a doctor with complaints of burning micturition and for the pain in the abdomen. If you do not want to disclose your sexual history, that is your decision, urine analysis should be done to rule out infection. Antibiotic course with some precautions like avoiding sex during treatment, having plenty of water will help to improve the infection. This will not cause any risk or complications in the future if you take proper treatment. Remain relaxed. Antibiotics cannot be prescribed online due to legal problems. |
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Hello doctor,I have a problem with my skin for a long time where my acne is mild but It gets worse really often and makes things worse. I have a natural redness which does not seem to reduce. I have dry skin that can be sensitive to a lot of things. Currently, I am using Dr Organic Manuka Honey Cleanser, Olay moisturizer and to take my makeup off I use coconut oil.I recently came off a contraceptive pill about two months ago where my skin cleared up on one cheek but over the weekend my skin just went terribly bad. In the past to try and reduce my redness, I have used aloe vera, vitamin A, and some over-the-counter creams.For my acne, I have practically tried everything like over-the-counter creams, acne-clearing products, and organic stuff. Nothing has worked. This is taking a toll on my mental health and I want to sort everything out.
### Response:
Hello. You are still in your teenage and acne is a common problem in this age group with frequent exacerbations due to any sort of mental or physical stress. Sometimes even periods exacerbate this and stress like exam or job tension. Moreover, you have been using various topical agents and you might have got contact dermatitis with all of these. You need to understand the nature of your problem first and try to relax first. My advice is to avoid cosmetics as much as you can. Use Brevoxyl (Benzoyl Peroxide Topical) Cream only at the time only on lesions in very little amount. Do not spread on the whole face. For more information consult a dermatologist online Take care. | Hello doctor,I have a problem with my skin for a long time where my acne is mild but It gets worse really often and makes things worse. I have a natural redness which does not seem to reduce. I have dry skin that can be sensitive to a lot of things. Currently, I am using Dr Organic Manuka Honey Cleanser, Olay moisturizer and to take my makeup off I use coconut oil.I recently came off a contraceptive pill about two months ago where my skin cleared up on one cheek but over the weekend my skin just went terribly bad. In the past to try and reduce my redness, I have used aloe vera, vitamin A, and some over-the-counter creams.For my acne, I have practically tried everything like over-the-counter creams, acne-clearing products, and organic stuff. Nothing has worked. This is taking a toll on my mental health and I want to sort everything out. | Hello. You are still in your teenage and acne is a common problem in this age group with frequent exacerbations due to any sort of mental or physical stress. Sometimes even periods exacerbate this and stress like exam or job tension. Moreover, you have been using various topical agents and you might have got contact dermatitis with all of these. You need to understand the nature of your problem first and try to relax first. My advice is to avoid cosmetics as much as you can. Use Brevoxyl (Benzoyl Peroxide Topical) Cream only at the time only on lesions in very little amount. Do not spread on the whole face. For more information consult a dermatologist online Take care. |
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Hello doctor,Should we buy into the idea that dairy is not so great for us? Are the alternatives as healthy as we are led to believe? What about the option of just giving up milk and not trying to replace it with anything, is that a good idea? Do you have advice on choosing the best milk alternative?
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Hello. The idea of quitting dairy is quite controversial. There is a lot of debate on this topic. If you are giving up milk products, you might have to replace it with some other form of protein like sprouts, nuts, etc. The alternatives to milk these days are soy milk, almond milk, oat milk, coconut milk and rice milk. While these are easily available in supermarkets, it is very important to \\read the labels\\ of any food item you buy. This rule applies to these alternatives for milk too. I personally have read labels on packs of almond milk, soy milk, etc., and found a lot of chemical additives in it. Follow a basic rule - if you do not understand an ingredient or if it sounds like a chemical name, it probably is not good for you. You may be better off ChatDoctor. If you buy milk, try to buy organic milk which is free of antibiotics or hormones. If you really want to give up milk and move to other alternatives of milk, then it is a good idea to make it in your kitchen. Almond milk, coconut milk, and oats milk can easily be made at home. You can check online video resources for this. I hope that helps. For more information consult a nutritionist online Take care. | Hello doctor,Should we buy into the idea that dairy is not so great for us? Are the alternatives as healthy as we are led to believe? What about the option of just giving up milk and not trying to replace it with anything, is that a good idea? Do you have advice on choosing the best milk alternative? | Hello. The idea of quitting dairy is quite controversial. There is a lot of debate on this topic. If you are giving up milk products, you might have to replace it with some other form of protein like sprouts, nuts, etc. The alternatives to milk these days are soy milk, almond milk, oat milk, coconut milk and rice milk. While these are easily available in supermarkets, it is very important to \\read the labels\\ of any food item you buy. This rule applies to these alternatives for milk too. I personally have read labels on packs of almond milk, soy milk, etc., and found a lot of chemical additives in it. Follow a basic rule - if you do not understand an ingredient or if it sounds like a chemical name, it probably is not good for you. You may be better off ChatDoctor. If you buy milk, try to buy organic milk which is free of antibiotics or hormones. If you really want to give up milk and move to other alternatives of milk, then it is a good idea to make it in your kitchen. Almond milk, coconut milk, and oats milk can easily be made at home. You can check online video resources for this. I hope that helps. For more information consult a nutritionist online Take care. |
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Hello doctor, I have had a mild cold symptoms over three weeks ago. Because of this global pandemic I got stressed and started feeling chest pain and abdominal muscle pain, etc. I did not have a fever, like not a single day. So I know that chest pain can occur due to stress and anxiety and to make myself feel better I went to the doctor\\s office so my doctor can listen to me breathing with a stethoscope. She said that my lungs are totally clear and that there is no strange noises. She said that I should take vitamin B and I was diagnosed with oral candidiasis. Now I am feeling a sort of bubbly feeling at the top of my chest and in my throat but only when I lay in bed and I feel like there is something stuck in my throat and I have a bit of discomfort when swallowing. So if my doctor said that my lungs are fine, what can it be?
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Hello. Most common symptoms of Covid-19 are fever, cough, and dyspnea. You mentioned you do not have fever, cough nor dyspnea so it is least likely you have Covid-19. Moreso, your lungs were clear. However, since we are in a pandemic, observation and self-quarantine is still advised. Yous symptoms of lump sensation in the throat and difficulty in swallowing may be caused by gastroesophageal reflux disease or GERD. Stress may have triggered it. I recommend you take Omeprazole 40 mg one tablet for two to four weeks. Avoid eating spicy, oily, fatty, and dairy foods. Avoid ChatDoctor. Take care. | Hello doctor, I have had a mild cold symptoms over three weeks ago. Because of this global pandemic I got stressed and started feeling chest pain and abdominal muscle pain, etc. I did not have a fever, like not a single day. So I know that chest pain can occur due to stress and anxiety and to make myself feel better I went to the doctor\\s office so my doctor can listen to me breathing with a stethoscope. She said that my lungs are totally clear and that there is no strange noises. She said that I should take vitamin B and I was diagnosed with oral candidiasis. Now I am feeling a sort of bubbly feeling at the top of my chest and in my throat but only when I lay in bed and I feel like there is something stuck in my throat and I have a bit of discomfort when swallowing. So if my doctor said that my lungs are fine, what can it be? | Hello. Most common symptoms of Covid-19 are fever, cough, and dyspnea. You mentioned you do not have fever, cough nor dyspnea so it is least likely you have Covid-19. Moreso, your lungs were clear. However, since we are in a pandemic, observation and self-quarantine is still advised. Yous symptoms of lump sensation in the throat and difficulty in swallowing may be caused by gastroesophageal reflux disease or GERD. Stress may have triggered it. I recommend you take Omeprazole 40 mg one tablet for two to four weeks. Avoid eating spicy, oily, fatty, and dairy foods. Avoid ChatDoctor. Take care. |
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Hello doctor,I have been experiencing angina symptoms for past five months. I had an angiogram and that came back clear but I am still experiencing chest pain and back pain along with extremities pain coldness sweaty. I have ruled out gastro as well as a carpal tunnel with a neurologist. I have been in and out of the emergency so many times with chest pain it is brought on with exertion. They keep saying that I do not have ischemic heart disease yet my ECG show ischemia. When I am under stressful situations or having to exert myself I will get left upper chest pain and then to the back of the shoulder blades along with numbness in my hands and feet and sometimes pain in the left bicep. I have been dealing with this almost on a daily basis. I take beta blocker twice a day, Aspirin in the morning as well as Pantoloc for gastro. The angiogram came back clear so they say that is the gold standard and there is nothing to be concerned about. Then they prescribed me anxiety pills and sent me home. I am frustrated and scared over the past two weeks I have had so many near syncopal episodes upon exertion frustrated and needing help.
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Hello. I have seen all your ECG reports (attachment removed to protect patient identity). These are all near normal. If your angiogram is normal then you need not worry. You would need to have an adequate control of your blood pressure. You would obviously need to rule out the problem in your shoulder or your nerves. Please do regular exercise and you can take short-term painkillers. For more information consult a cardiologist online Take care. | Hello doctor,I have been experiencing angina symptoms for past five months. I had an angiogram and that came back clear but I am still experiencing chest pain and back pain along with extremities pain coldness sweaty. I have ruled out gastro as well as a carpal tunnel with a neurologist. I have been in and out of the emergency so many times with chest pain it is brought on with exertion. They keep saying that I do not have ischemic heart disease yet my ECG show ischemia. When I am under stressful situations or having to exert myself I will get left upper chest pain and then to the back of the shoulder blades along with numbness in my hands and feet and sometimes pain in the left bicep. I have been dealing with this almost on a daily basis. I take beta blocker twice a day, Aspirin in the morning as well as Pantoloc for gastro. The angiogram came back clear so they say that is the gold standard and there is nothing to be concerned about. Then they prescribed me anxiety pills and sent me home. I am frustrated and scared over the past two weeks I have had so many near syncopal episodes upon exertion frustrated and needing help. | Hello. I have seen all your ECG reports (attachment removed to protect patient identity). These are all near normal. If your angiogram is normal then you need not worry. You would need to have an adequate control of your blood pressure. You would obviously need to rule out the problem in your shoulder or your nerves. Please do regular exercise and you can take short-term painkillers. For more information consult a cardiologist online Take care. |
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Hello doctor,I had a root canal over a year ago, had a cap put on and no problems. A month ago it was pulled off when I ate candy. It was glued back on. Yesterday, the tooth suddenly felt different. It feels sensitive when pressure is applied and sometimes it feels to be throbbing under the cap.
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Hi. Throbbing pain or sensitivity in a root canal treated tooth is an indication of re-infection in it. Sometimes the nerves regenerate from the apical end and start causing infection, it may happen due to food stuck around margins of gums for a long time, etc. There are two lines of treatment to it. 1. Medications- Take Augmentin 625 mg, tablet Metronidazole 400 mg and Brufen 400 mg for five days, twice a day. It will heal the infection and there will be no need for further treatment, your tooth will be back to normal. 2. If infection recurs after medicine regime like in 2 or 6 months with severe pain then cap will be removed for a while, re-endo or root canal treatment will be done, that is, deep cleaning of roots will be done and then it will be sealed again once infection is gone and tooth cap will be put again. There is also a third option that is a severe one, if root canal treated tooth is stuck with it then sometimes we have no option left except for extraction. Provide me with clinical picture and radiograph of your tooth so that I can exactly recommend you what should you opt for after medications. Take care. | Hello doctor,I had a root canal over a year ago, had a cap put on and no problems. A month ago it was pulled off when I ate candy. It was glued back on. Yesterday, the tooth suddenly felt different. It feels sensitive when pressure is applied and sometimes it feels to be throbbing under the cap. | Hi. Throbbing pain or sensitivity in a root canal treated tooth is an indication of re-infection in it. Sometimes the nerves regenerate from the apical end and start causing infection, it may happen due to food stuck around margins of gums for a long time, etc. There are two lines of treatment to it. 1. Medications- Take Augmentin 625 mg, tablet Metronidazole 400 mg and Brufen 400 mg for five days, twice a day. It will heal the infection and there will be no need for further treatment, your tooth will be back to normal. 2. If infection recurs after medicine regime like in 2 or 6 months with severe pain then cap will be removed for a while, re-endo or root canal treatment will be done, that is, deep cleaning of roots will be done and then it will be sealed again once infection is gone and tooth cap will be put again. There is also a third option that is a severe one, if root canal treated tooth is stuck with it then sometimes we have no option left except for extraction. Provide me with clinical picture and radiograph of your tooth so that I can exactly recommend you what should you opt for after medications. Take care. |
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Hello doctor,I am concerned about a head twitch. I have gotten in a habit for seven months of twitching my head. If I am consciously thinking about what I am doing, I can stop it. However, it is extremely difficult and I feel an overwhelming impulse to do it, similar to how one would feel when cracking his or her knuckles. It seems like it has become a habit and I do not know how to stop it. I also want to make sure there are no underlying medical conditions, however, as I mentioned, when I pay attention I can control it, even though it is difficult and uncomfortable and I have to put a lot of effort into not doing it. I read online that it may have something to do with stress or anxiety?
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Hello, Welcome to Chat Doctor forum. From your description, it looks like you are experiencing a motor tic. Do you have any other symptoms? How old are you at present? You mentioned this tic started befor seven months. Have you experienced any tics before? Any vocal tic? Tics can be suppressed temporarily but can be uncomfortable as you mentioned. Tics can wax and wane depending on stress, anxiety, tiredness, etc. Usually, tics are common and harmless. It is advisable to consult your doctor to clarify the diagnosis and to exclude any conditions that can mimic tic disorder. Mild tics can be managed by stress management and relaxation exercises. If tics are severe and persistent, it can be managed by specialist therapy cognitive behavioral intervention for tics (CBIT). Sometimes medication can be used as well. I hope this helps. | Hello doctor,I am concerned about a head twitch. I have gotten in a habit for seven months of twitching my head. If I am consciously thinking about what I am doing, I can stop it. However, it is extremely difficult and I feel an overwhelming impulse to do it, similar to how one would feel when cracking his or her knuckles. It seems like it has become a habit and I do not know how to stop it. I also want to make sure there are no underlying medical conditions, however, as I mentioned, when I pay attention I can control it, even though it is difficult and uncomfortable and I have to put a lot of effort into not doing it. I read online that it may have something to do with stress or anxiety? | Hello, Welcome to Chat Doctor forum. From your description, it looks like you are experiencing a motor tic. Do you have any other symptoms? How old are you at present? You mentioned this tic started befor seven months. Have you experienced any tics before? Any vocal tic? Tics can be suppressed temporarily but can be uncomfortable as you mentioned. Tics can wax and wane depending on stress, anxiety, tiredness, etc. Usually, tics are common and harmless. It is advisable to consult your doctor to clarify the diagnosis and to exclude any conditions that can mimic tic disorder. Mild tics can be managed by stress management and relaxation exercises. If tics are severe and persistent, it can be managed by specialist therapy cognitive behavioral intervention for tics (CBIT). Sometimes medication can be used as well. I hope this helps. |
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Hello doctor,I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection.I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive?
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Hello, Welcome to Chat Doctor forum. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts. | Hello doctor,I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection.I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive? | Hello, Welcome to Chat Doctor forum. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts. |
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Hello doctor,I am a 21-year-old male. I have Fordyce spots on my private areas and on the corners of my upper lip. Can you give me a cure? My problem has remained consistent since the last seven to eight years. It does not pain or itches or none of such problems. I just feel upset whenever I look down at them and badly want to cure it. When I touch the spots on the downside of my penis it feels like some kind of tight hard mass inside, but it pains when I try to squeeze them out all in vain. Two-three spots get bigger in size sometimes and remain so for quite a long time and some new spots also arise intermittently. It is very awkward to see them feel the masses inside and these spots are only on the downside of my penis and not on the upper side. And my BP is normal as I last checked up some days ago. I have no problem with sugar level or any cholesterol issue. Thanks.
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Hi, Welcome to Chat Doctor forum. Fordyce spots are sebaceous glands. It is a normal variant, harmless. I totally understand your frustration. Unfortunately, this condition has limited treatment options and cure is difficult to assure. Co2 (carbon dioxide) laser is one option, it removes the spot but there can be potential for scarring. Another option is oral Isotretinoin capsule. Isotretinoin is vitamin A derivative, it is used in acne and it shrinks the sebaceous glands. I am very sorry to say, even with Isotretinoin, cure cannot be guaranteed. | Hello doctor,I am a 21-year-old male. I have Fordyce spots on my private areas and on the corners of my upper lip. Can you give me a cure? My problem has remained consistent since the last seven to eight years. It does not pain or itches or none of such problems. I just feel upset whenever I look down at them and badly want to cure it. When I touch the spots on the downside of my penis it feels like some kind of tight hard mass inside, but it pains when I try to squeeze them out all in vain. Two-three spots get bigger in size sometimes and remain so for quite a long time and some new spots also arise intermittently. It is very awkward to see them feel the masses inside and these spots are only on the downside of my penis and not on the upper side. And my BP is normal as I last checked up some days ago. I have no problem with sugar level or any cholesterol issue. Thanks. | Hi, Welcome to Chat Doctor forum. Fordyce spots are sebaceous glands. It is a normal variant, harmless. I totally understand your frustration. Unfortunately, this condition has limited treatment options and cure is difficult to assure. Co2 (carbon dioxide) laser is one option, it removes the spot but there can be potential for scarring. Another option is oral Isotretinoin capsule. Isotretinoin is vitamin A derivative, it is used in acne and it shrinks the sebaceous glands. I am very sorry to say, even with Isotretinoin, cure cannot be guaranteed. |
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Hello doctor,I have been under tremendous stress for the past five years and I am worried about my heart. I have been having consistent early warning signs of a heart attack such as shortness of breath, nausea/indigestion, heartburn, pain in my upper abdomen, pain in my neck/jaw and pressure/tightness in my chest. I typically only experience these signs during the week when I am at work and not so much on the weekends when I am home relaxing. I have never been in a situation like this so I figured I would ask you as to how I should treat this? Should I get tests done and if so, what tests?
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Hello. Firstly, considering your age, probability of heart disease is low. All these symptoms are probably related to gastritis and reflux disease rather than heart problem. But, symptoms of heart disease and reflux overlap, so I would recommend you get yourself tested. You will need ECG, followed by echo and TMT if necessary based on ECG and echo reports. Stress tend to worsen gastritis and reflux problems which may worsen your symptoms. Since you are having such symptoms frequently and one cannot have such heart attacks frequently, these episodes are unlikely to be cardiac. Also, try to relax yourself with relaxation techniques. Regular exercises also helps to relieve stress. Also, avoid fatty oily and spicy food. Avoid smoking and alcohol, if any. Avoid heavy meals and have some walk after meals rather than resting immediately. Have some antacids like Pantoprazole or Rabeprazole is available with you. Hope this helps you and get back if you have any doubts. | Hello doctor,I have been under tremendous stress for the past five years and I am worried about my heart. I have been having consistent early warning signs of a heart attack such as shortness of breath, nausea/indigestion, heartburn, pain in my upper abdomen, pain in my neck/jaw and pressure/tightness in my chest. I typically only experience these signs during the week when I am at work and not so much on the weekends when I am home relaxing. I have never been in a situation like this so I figured I would ask you as to how I should treat this? Should I get tests done and if so, what tests? | Hello. Firstly, considering your age, probability of heart disease is low. All these symptoms are probably related to gastritis and reflux disease rather than heart problem. But, symptoms of heart disease and reflux overlap, so I would recommend you get yourself tested. You will need ECG, followed by echo and TMT if necessary based on ECG and echo reports. Stress tend to worsen gastritis and reflux problems which may worsen your symptoms. Since you are having such symptoms frequently and one cannot have such heart attacks frequently, these episodes are unlikely to be cardiac. Also, try to relax yourself with relaxation techniques. Regular exercises also helps to relieve stress. Also, avoid fatty oily and spicy food. Avoid smoking and alcohol, if any. Avoid heavy meals and have some walk after meals rather than resting immediately. Have some antacids like Pantoprazole or Rabeprazole is available with you. Hope this helps you and get back if you have any doubts. |
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Hi doctor,I am a 41 year old woman and started having severe lower back pain and nausea about a week ago. Went to the ER, had a CT scan, diagnosed with a 6.5 mm kidney stone in my right ureter with mild hydronephrosis. I was given Percocet and sent home with instructions to see a urologist. I was not able to get an appointment until yesterday. Two days after my ER visit, I began having severe chills and running fever as high as 101.5. The urologist did a UA yesterday and said I did not have an infection. And also he did a KUB, which showed my stone had not moved at all. He scheduled me for lithotripsy next Tuesday. I continue to have severe chills and fever. I called his office today and he says I probably have flu. Is it possible that I have an infection in my right kidney? Because the stone is blocking the ureter. But, urine I am passing is clear and uninfected. Please help.
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Hello, Welcome to Chat Doctor forum. High fever and chill are indicative of infection indeed and as we have a cause rightly evident there are chances that you may be developing hy ChatDoctor. Though urine culture generally picks up an infection in the bladder, nephritis is more of clinical diagnosis with pain and tenderness in the renal angle and high-grade fever accompanying it. Ideally, you should be started on prophylactic antibiotics to control the infection sooner before septic features or septicemia may occur.I think you should take a second opinion from another urologist too. | Hi doctor,I am a 41 year old woman and started having severe lower back pain and nausea about a week ago. Went to the ER, had a CT scan, diagnosed with a 6.5 mm kidney stone in my right ureter with mild hydronephrosis. I was given Percocet and sent home with instructions to see a urologist. I was not able to get an appointment until yesterday. Two days after my ER visit, I began having severe chills and running fever as high as 101.5. The urologist did a UA yesterday and said I did not have an infection. And also he did a KUB, which showed my stone had not moved at all. He scheduled me for lithotripsy next Tuesday. I continue to have severe chills and fever. I called his office today and he says I probably have flu. Is it possible that I have an infection in my right kidney? Because the stone is blocking the ureter. But, urine I am passing is clear and uninfected. Please help. | Hello, Welcome to Chat Doctor forum. High fever and chill are indicative of infection indeed and as we have a cause rightly evident there are chances that you may be developing hy ChatDoctor. Though urine culture generally picks up an infection in the bladder, nephritis is more of clinical diagnosis with pain and tenderness in the renal angle and high-grade fever accompanying it. Ideally, you should be started on prophylactic antibiotics to control the infection sooner before septic features or septicemia may occur.I think you should take a second opinion from another urologist too. |
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Hi doctor,I am a 19 year old female weighing 100 lbs and 5.6 feet tall. I have had splinter hemorrhages that started in my index finger and now has spread to my thumb, but the pain in spreading to four fingers of my right hand. It becomes unbearable at times when I wake up or when I go into cold environments. I have no heart problems that I know of besides an abnormally high heart rate for the past two years, which has been dismissed by a doctor as nothing serious. I am concerned because of the pain it has caused me, and I am certain I have not had any trauma to my nails. It is spreading with time. I am not taking any regular medicine except Ortho Tri-Cyclen Lo (birth control).
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Hello, Welcome to Chat Doctor forum. There is a possibility of limb ischemia that is obstruction of blood flow to your hand. As it is progressive, it is likely due to an embolus (clot) getting dislodged and landing in your hand or may be due to local clot formation. I suggest you visit your specialist doctor and get the following tests done. Oral birth control pill could have a role to play, as it makes blood thicker. Limb ischemia is an emergency, and it is crucial that we rule out this possibility as the consequences may not be good. So, visit ER (emergency room) and get yourself examined as soon as possible. Is there any discoloration like bluish tinge or erythematous coloration? Can you upload the photo of your hand? Revert with more information to an internal medicine physician online | Hi doctor,I am a 19 year old female weighing 100 lbs and 5.6 feet tall. I have had splinter hemorrhages that started in my index finger and now has spread to my thumb, but the pain in spreading to four fingers of my right hand. It becomes unbearable at times when I wake up or when I go into cold environments. I have no heart problems that I know of besides an abnormally high heart rate for the past two years, which has been dismissed by a doctor as nothing serious. I am concerned because of the pain it has caused me, and I am certain I have not had any trauma to my nails. It is spreading with time. I am not taking any regular medicine except Ortho Tri-Cyclen Lo (birth control). | Hello, Welcome to Chat Doctor forum. There is a possibility of limb ischemia that is obstruction of blood flow to your hand. As it is progressive, it is likely due to an embolus (clot) getting dislodged and landing in your hand or may be due to local clot formation. I suggest you visit your specialist doctor and get the following tests done. Oral birth control pill could have a role to play, as it makes blood thicker. Limb ischemia is an emergency, and it is crucial that we rule out this possibility as the consequences may not be good. So, visit ER (emergency room) and get yourself examined as soon as possible. Is there any discoloration like bluish tinge or erythematous coloration? Can you upload the photo of your hand? Revert with more information to an internal medicine physician online |
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Hi,I just went to the dentist for a general cleaning. My dentist is great and very hygenic. Today when he came in the room he washed his hands and put on gloves. Half way through he needed to go and check on another patient. He took his gloves off and ledt the room. I dont know his he needed to treat or just talk to the other patient. He came back in my room and put new gloves on but didnt wash his hands and continued. He off couse may have washed his hands in the other room. I have anxiety about my health and worry about contracting something like HIV or Hepatitis. During my cleaning my gums were bleeding and I'm worried that maybe there was cross infection. Am i right thinking that it would be unlikely that he could have infected me with something like HIV/Hepatits this way?
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Hey, That is great that you are cautious about hygiene. But its perfectly fine. Your doctor would have definitely washed hands before wearing gloves. Secondly, HIV/Hep C viruses don\\t act at other person in seconds. It takes months or years to become active and then start with some symptoms after years . This won\\t be the case you are healthy mA. Bleeding during scaling is very common when tartar is removed at boundaries of gums. It promotes a healthier gums production later. For being having no doubts about any viruses you can get your relevant blood tests done. Like CBC, Hiv tests done 6 monthly that will definitely rule out this thing in your mind. Take care.Stay blessed and happy. Feel free to ask any further queries. | Hi,I just went to the dentist for a general cleaning. My dentist is great and very hygenic. Today when he came in the room he washed his hands and put on gloves. Half way through he needed to go and check on another patient. He took his gloves off and ledt the room. I dont know his he needed to treat or just talk to the other patient. He came back in my room and put new gloves on but didnt wash his hands and continued. He off couse may have washed his hands in the other room. I have anxiety about my health and worry about contracting something like HIV or Hepatitis. During my cleaning my gums were bleeding and I'm worried that maybe there was cross infection. Am i right thinking that it would be unlikely that he could have infected me with something like HIV/Hepatits this way? | Hey, That is great that you are cautious about hygiene. But its perfectly fine. Your doctor would have definitely washed hands before wearing gloves. Secondly, HIV/Hep C viruses don\\t act at other person in seconds. It takes months or years to become active and then start with some symptoms after years . This won\\t be the case you are healthy mA. Bleeding during scaling is very common when tartar is removed at boundaries of gums. It promotes a healthier gums production later. For being having no doubts about any viruses you can get your relevant blood tests done. Like CBC, Hiv tests done 6 monthly that will definitely rule out this thing in your mind. Take care.Stay blessed and happy. Feel free to ask any further queries. |
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Hello doctor,I am 21 years old. Today I noticed a small black spot on my toenail, I did a little research and found out that it might be a melanoma cancer, but also it could be a fungus infection. After a bit more research, I noticed that an unusual cystic pimple between my chest that I have had for two months now might also sign of melanoma. I spend little to no time in the sun. Do I have melanoma? The black spot on my toenail might be because of the tight shoes I have been wearing lately, my toe also hurts a little bit from those shoes. The red pimple between my chest appeared five to six month ago, then disappeared and reappeared multiple times, I squeezed it, and blood and fluid came out of it.
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Hello, Welcome to Chat Doctor forum. I understand your concern. The thing on the chest looks more of a sebaceous cyst, (attachment removed to protect patient identity) which comes and goes even if you pop out the contents as it needs to be excised completely to prevent the recurrence. For the toenail spot, I am not sure that it is melanoma, it can be other things like a subungual traumatic hematoma, or pseudomonas nail infection. Nonetheless, you need to keep observing it for any color or size changes. The two conditions you mentioned do not seem to be related, though. Use the following medication for two weeks, and if it is because of infection it will improve 1. Tablet Ciprofloxacin 500 mg twice a day for two weeks. And avoid tight footwear. | Hello doctor,I am 21 years old. Today I noticed a small black spot on my toenail, I did a little research and found out that it might be a melanoma cancer, but also it could be a fungus infection. After a bit more research, I noticed that an unusual cystic pimple between my chest that I have had for two months now might also sign of melanoma. I spend little to no time in the sun. Do I have melanoma? The black spot on my toenail might be because of the tight shoes I have been wearing lately, my toe also hurts a little bit from those shoes. The red pimple between my chest appeared five to six month ago, then disappeared and reappeared multiple times, I squeezed it, and blood and fluid came out of it. | Hello, Welcome to Chat Doctor forum. I understand your concern. The thing on the chest looks more of a sebaceous cyst, (attachment removed to protect patient identity) which comes and goes even if you pop out the contents as it needs to be excised completely to prevent the recurrence. For the toenail spot, I am not sure that it is melanoma, it can be other things like a subungual traumatic hematoma, or pseudomonas nail infection. Nonetheless, you need to keep observing it for any color or size changes. The two conditions you mentioned do not seem to be related, though. Use the following medication for two weeks, and if it is because of infection it will improve 1. Tablet Ciprofloxacin 500 mg twice a day for two weeks. And avoid tight footwear. |
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Hello doctor,I am 25 years old. I have a 7-year-old and a 2-year-old kid. After my son\\s birth, I have gained quite a bit of weight just a little over the obese range. I say this because I do not know if it has anything to do with my problem.I am writing because I am having trouble finding online information about my lower back pain (behind the backbone). It does not hurt all the time. Mainly there is constant pain while walking, laying flat, or when leaning forward without support. Also, there is a real sharp pinch when my kids or spouse push on it either side. I am not sure if this matters, but once in a while when I stand from the couch there is a pinching pain in my lower front abdomen that goes away after a minute or two. Is there any idea you may have as to what is going on? I have been dealing with my back for a year now and my spouse is starting to tell me to get it checked out. I used to take only Ibubrufen when I get headaches.
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Hi, Welcome to Chat Doctor forum. I am sorry to hear about your pain, but I will try my best to help you. From history, the lower back pain may be related to mechanical or disc protrusion (PIVD) or some rare conditions like a kidney stone, or pelvic inflammatory disease. Mechanical and PIVD (prolapsed, herniated, or extruded intervertebral disc) can be differentiated by a ChatDoctor. In PIVD | Hello doctor,I am 25 years old. I have a 7-year-old and a 2-year-old kid. After my son\\s birth, I have gained quite a bit of weight just a little over the obese range. I say this because I do not know if it has anything to do with my problem.I am writing because I am having trouble finding online information about my lower back pain (behind the backbone). It does not hurt all the time. Mainly there is constant pain while walking, laying flat, or when leaning forward without support. Also, there is a real sharp pinch when my kids or spouse push on it either side. I am not sure if this matters, but once in a while when I stand from the couch there is a pinching pain in my lower front abdomen that goes away after a minute or two. Is there any idea you may have as to what is going on? I have been dealing with my back for a year now and my spouse is starting to tell me to get it checked out. I used to take only Ibubrufen when I get headaches. | Hi, Welcome to Chat Doctor forum. I am sorry to hear about your pain, but I will try my best to help you. From history, the lower back pain may be related to mechanical or disc protrusion (PIVD) or some rare conditions like a kidney stone, or pelvic inflammatory disease. Mechanical and PIVD (prolapsed, herniated, or extruded intervertebral disc) can be differentiated by a ChatDoctor. In PIVD |
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Hi doctor, I went to an optometrist and diagnosed with something like below.Retinal exam showed OD temporal area of pigmentation (old chrpe vs atropical hole) with area of retinal elevation.I have attached the optomaps. Can you please tell me how serious is this? Does it need surgery?
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Hello. I have gone through your optomap. (attachment removed to protect patient identity). The first (left eye) one seems fine. The second one (right eye) on your left-hand side has a few changes. It is a bit tricky to make assumptions based on images, but are you referring to the retinal elevation and hole and chrpe on to the left-hand side? There are a multitude of options to treat such a disease. Some doctors, with such a finding, might say that it is a small hole and localized elevation and especially if you yourself have no symptoms like flashing light or floating objects, might ask you to simply follow up with them and recommend observation. Others may recommend that you get laser or surgery done more so in case you have symptoms as mentioned above and if you have had any such incidents in your other eye, or have risk factors like a high power. So in summary, I can say that it mainly depends on the progress, your symptoms and the risk factors. I can assure you that observation for a retinal problem like yours can be done because it is not involving the center part (macula). But the doctor may opt to treat with a laser depending on the progress of the condition. Once again it depends on your progress, risk factors and symptoms. | Hi doctor, I went to an optometrist and diagnosed with something like below.Retinal exam showed OD temporal area of pigmentation (old chrpe vs atropical hole) with area of retinal elevation.I have attached the optomaps. Can you please tell me how serious is this? Does it need surgery? | Hello. I have gone through your optomap. (attachment removed to protect patient identity). The first (left eye) one seems fine. The second one (right eye) on your left-hand side has a few changes. It is a bit tricky to make assumptions based on images, but are you referring to the retinal elevation and hole and chrpe on to the left-hand side? There are a multitude of options to treat such a disease. Some doctors, with such a finding, might say that it is a small hole and localized elevation and especially if you yourself have no symptoms like flashing light or floating objects, might ask you to simply follow up with them and recommend observation. Others may recommend that you get laser or surgery done more so in case you have symptoms as mentioned above and if you have had any such incidents in your other eye, or have risk factors like a high power. So in summary, I can say that it mainly depends on the progress, your symptoms and the risk factors. I can assure you that observation for a retinal problem like yours can be done because it is not involving the center part (macula). But the doctor may opt to treat with a laser depending on the progress of the condition. Once again it depends on your progress, risk factors and symptoms. |
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Hello doctor,I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal?
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Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety ChatDoctor. Take care. | Hello doctor,I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal? | Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety ChatDoctor. Take care. |
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Hello doctor,I am a 27 year old male. Recently, I have gone through a full body check up and I am attaching the reports of that. So, kindly go through all the reports and provide your sound medical advice based on reports especially on the liver profile, ultrasound, and chest X-ray. Also, advice about the type of food which should be taken and what are the things need to be avoided. What are the medications to be taken to improve the health? I was having some pain in lower stomach parts while traveling, also some pain is chest area. So, I have gone through all the tests.
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Hello. I have reviewed your detailed query and all supporting documents (attachment removed to protect patient identity). There is nothing wrong with the blood and urine tests at large. Your heart is working perfectly normal and there is no abnormality found in the heart. Blood sugar is all normal and working fine. Your lipid profile is a little out of range but this is manageable with a change in lifestyle. You need to start working out (better would be to join the gym and do treadmill and cardio exercises under the supervision of a gym instructor). Take healthy and natural diet. No junk food and lazy habits. Remain active and keep calm. ESR (erythrocyte sedimentation rate) is high and the reasons can be discussed with your treating physician. Causes of high ESR can be inflammations and infections in the body. Your chest X-ray shows infection (bronchitis) and that may be a causative factor. Hope it helps. For more information consult an internal medicine physician online Take care. | Hello doctor,I am a 27 year old male. Recently, I have gone through a full body check up and I am attaching the reports of that. So, kindly go through all the reports and provide your sound medical advice based on reports especially on the liver profile, ultrasound, and chest X-ray. Also, advice about the type of food which should be taken and what are the things need to be avoided. What are the medications to be taken to improve the health? I was having some pain in lower stomach parts while traveling, also some pain is chest area. So, I have gone through all the tests. | Hello. I have reviewed your detailed query and all supporting documents (attachment removed to protect patient identity). There is nothing wrong with the blood and urine tests at large. Your heart is working perfectly normal and there is no abnormality found in the heart. Blood sugar is all normal and working fine. Your lipid profile is a little out of range but this is manageable with a change in lifestyle. You need to start working out (better would be to join the gym and do treadmill and cardio exercises under the supervision of a gym instructor). Take healthy and natural diet. No junk food and lazy habits. Remain active and keep calm. ESR (erythrocyte sedimentation rate) is high and the reasons can be discussed with your treating physician. Causes of high ESR can be inflammations and infections in the body. Your chest X-ray shows infection (bronchitis) and that may be a causative factor. Hope it helps. For more information consult an internal medicine physician online Take care. |
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Hello doctor, I always had tiny and small bumps on my penis head, from the time I started noticing my penis. But today I saw some white and tiny dot like bumps. Is it any kind of STD? I had intercourse with a sex worker five weeks ago. It was protected and I kept checking my condom after every three or four strokes. I am totally aware of STD and HIV risk and I used a branded condom non-expired one. I stretched it hard to see for any holes or tears and did not see any. When I tried to insert, it broke and at that very second, I heard a popping sound and was out of her. It will be about one or two seconds and not more than that. I am not sure did it go in or not but I did not feel anything when the condom broke.I went to the doctor HIV specialist and she told me I do not have any risk for HIV. I would like to have your view on this. I have attached the picture.
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Hello, Welcome to Chat Doctor forum. First of all, there is no risk of HIV. Secondly, the tiny bump can be a healed ulcer. Third, to be honest, a condom will not protect from HIV. The size of the virus is far small than microscope holes in the condom. Condom promotion is done to prevent STD (sexually transmitted disease) which may cause an increased chance of HIV transmission. Test for TPPA (Treponema pallidum particle agglutination assay). Injection Benzathine penicillin 2.4 mu deep intramuscular. Stay away from unprotected sexual activity. | Hello doctor, I always had tiny and small bumps on my penis head, from the time I started noticing my penis. But today I saw some white and tiny dot like bumps. Is it any kind of STD? I had intercourse with a sex worker five weeks ago. It was protected and I kept checking my condom after every three or four strokes. I am totally aware of STD and HIV risk and I used a branded condom non-expired one. I stretched it hard to see for any holes or tears and did not see any. When I tried to insert, it broke and at that very second, I heard a popping sound and was out of her. It will be about one or two seconds and not more than that. I am not sure did it go in or not but I did not feel anything when the condom broke.I went to the doctor HIV specialist and she told me I do not have any risk for HIV. I would like to have your view on this. I have attached the picture. | Hello, Welcome to Chat Doctor forum. First of all, there is no risk of HIV. Secondly, the tiny bump can be a healed ulcer. Third, to be honest, a condom will not protect from HIV. The size of the virus is far small than microscope holes in the condom. Condom promotion is done to prevent STD (sexually transmitted disease) which may cause an increased chance of HIV transmission. Test for TPPA (Treponema pallidum particle agglutination assay). Injection Benzathine penicillin 2.4 mu deep intramuscular. Stay away from unprotected sexual activity. |
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Hello doctor,I woke up suddenly at 1\\o clock in the night to urinate. I have a burning sensation after that. I woke up once an hour until about 5 am and having the same problem. There was only little urination, and the burning sensation started to decrease after each time I urinate. At around 4 am, I noticed light pink spotting on the toilet paper after the first wipe. It has occurred all day and at 6 pm the burning has almost completely disappeared. I am due for my period in seven days and I had unprotected sex eight and 13 days ago. A little concerned, I had UTI in the past and never had any spotting. I have googled, possible implantation bleeding, and took an EPT two days ago, and it turned out negative. I want a little more possible explanation.
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Hello, Welcome to Chat Doctor forum. This can well be an implantation bleed considering you have had unprotected sex recently unless proven otherwise. The EPT (early pregnancy test) test is not sensitive enough during the cycle at all, and can only detect the hCG levels on the seventh day post missed period. The pregnancy can be rather confirmed with a blood serum beta hCG level, which if found to be raised indicates pregnancy. If this test is negative and pregnancy is ruled out, then the spotting can be attributed to breakthrough bleeding due to lower levels of progesterone immediately after delayed ovulation as in this case possibly causing a small scanty with ChatDoctor. You need to furnish details about your LMP (last menstrual period) and regularity of cycles to comment further. | Hello doctor,I woke up suddenly at 1\\o clock in the night to urinate. I have a burning sensation after that. I woke up once an hour until about 5 am and having the same problem. There was only little urination, and the burning sensation started to decrease after each time I urinate. At around 4 am, I noticed light pink spotting on the toilet paper after the first wipe. It has occurred all day and at 6 pm the burning has almost completely disappeared. I am due for my period in seven days and I had unprotected sex eight and 13 days ago. A little concerned, I had UTI in the past and never had any spotting. I have googled, possible implantation bleeding, and took an EPT two days ago, and it turned out negative. I want a little more possible explanation. | Hello, Welcome to Chat Doctor forum. This can well be an implantation bleed considering you have had unprotected sex recently unless proven otherwise. The EPT (early pregnancy test) test is not sensitive enough during the cycle at all, and can only detect the hCG levels on the seventh day post missed period. The pregnancy can be rather confirmed with a blood serum beta hCG level, which if found to be raised indicates pregnancy. If this test is negative and pregnancy is ruled out, then the spotting can be attributed to breakthrough bleeding due to lower levels of progesterone immediately after delayed ovulation as in this case possibly causing a small scanty with ChatDoctor. You need to furnish details about your LMP (last menstrual period) and regularity of cycles to comment further. |
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Hello doctor,I have been having transient visual disturbances (looks like moving or static bubbles) around the periphery of my vision in my right eye that lasts a few seconds every time. The vision also sometimes grays out then comes back seconds later. This happens dozens of times a day, every day. Often they are caused when I stand up or move my head around.I first noticed the symptoms when I had a sinus infection and was on Doxycycline three months back. I had pain in my right eyebrow that went away after antibiotic use, but the visual issue stayed. I had an eye exam with an ophthalmologist who told me he did not see anything wrong and that it was ocular migraines. I have since had recurring headaches that are persistent, but the visual disturbance does not change whether or not I have a headache. I have an appointment with a neurologist in three weeks, but I am wondering if it is safe to wait that long. Ibuprofen helps with the headache and reduces visual disturbances. Currently, I am on Lexapro 10 mg.
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Hello. Regarding your concern, I would explain that your symptoms could be related to optic nerve damage or low blood pressure. As standing up triggers these symptoms, orthostatic hypotension cannot be excluded. Coming to this point, I would recommend measuring your blood pressure in sitting and standing up position. I think there is no need to go to the ER (emergency room). When consulting with a neurologist, I would recommend discussing the possibility of a brain MRI (magnetic resonance imaging) to examine your brain and optic nerve. Other tests to consider would be | Hello doctor,I have been having transient visual disturbances (looks like moving or static bubbles) around the periphery of my vision in my right eye that lasts a few seconds every time. The vision also sometimes grays out then comes back seconds later. This happens dozens of times a day, every day. Often they are caused when I stand up or move my head around.I first noticed the symptoms when I had a sinus infection and was on Doxycycline three months back. I had pain in my right eyebrow that went away after antibiotic use, but the visual issue stayed. I had an eye exam with an ophthalmologist who told me he did not see anything wrong and that it was ocular migraines. I have since had recurring headaches that are persistent, but the visual disturbance does not change whether or not I have a headache. I have an appointment with a neurologist in three weeks, but I am wondering if it is safe to wait that long. Ibuprofen helps with the headache and reduces visual disturbances. Currently, I am on Lexapro 10 mg. | Hello. Regarding your concern, I would explain that your symptoms could be related to optic nerve damage or low blood pressure. As standing up triggers these symptoms, orthostatic hypotension cannot be excluded. Coming to this point, I would recommend measuring your blood pressure in sitting and standing up position. I think there is no need to go to the ER (emergency room). When consulting with a neurologist, I would recommend discussing the possibility of a brain MRI (magnetic resonance imaging) to examine your brain and optic nerve. Other tests to consider would be |
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Hi doctor,About two years ago, I was playing a video game while wearing a headset with fairly loud burst sounds from time to time, and I noticed a small hissing sound was present in my ears or head when I was getting off my PC. I have always used headsets for long hours before this occurred. Ever since then this tinnitus has moved from one ear to another, and then centralized in my head. Anyhow, now whenever I put on and listen to a headset for a short period even on low volume, my ears hurt. The sides of my head around the ear and the tinnitus spikes up usually. I have tried several popular and expensive headsets with same results. Other symptoms I have are I have difficulty breathing through my nose, I feel emotionally numb, anxiety, my jaw locks sometimes when I bite on hard food and sometimes it does itself during sleep. The bones around my ear hurt. I do not know if any of the symptoms are related. But I have not been to a doctor for various reasons.
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Hi, Welcome to Chat Doctor forum. Exposure to loud sounds creates pressure over your nerve of hearing and can evoke tinnitus. Hence, I advise you to use minimal sound during games. The pain in and around your ears is due to excessive usage of headset around your ears. For your nasal obstruction, you should get a diagnostic nasal endoscopy done to rule out the cause and proceed for further investigations. Locking of your jaw can be due to the TM joint which locks more in the morning and creates pain when infected leading to pain while biting hard foods. Hence, a muscle relaxant is advised. | Hi doctor,About two years ago, I was playing a video game while wearing a headset with fairly loud burst sounds from time to time, and I noticed a small hissing sound was present in my ears or head when I was getting off my PC. I have always used headsets for long hours before this occurred. Ever since then this tinnitus has moved from one ear to another, and then centralized in my head. Anyhow, now whenever I put on and listen to a headset for a short period even on low volume, my ears hurt. The sides of my head around the ear and the tinnitus spikes up usually. I have tried several popular and expensive headsets with same results. Other symptoms I have are I have difficulty breathing through my nose, I feel emotionally numb, anxiety, my jaw locks sometimes when I bite on hard food and sometimes it does itself during sleep. The bones around my ear hurt. I do not know if any of the symptoms are related. But I have not been to a doctor for various reasons. | Hi, Welcome to Chat Doctor forum. Exposure to loud sounds creates pressure over your nerve of hearing and can evoke tinnitus. Hence, I advise you to use minimal sound during games. The pain in and around your ears is due to excessive usage of headset around your ears. For your nasal obstruction, you should get a diagnostic nasal endoscopy done to rule out the cause and proceed for further investigations. Locking of your jaw can be due to the TM joint which locks more in the morning and creates pain when infected leading to pain while biting hard foods. Hence, a muscle relaxant is advised. |
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Hello doctor,I suffered from a horrible panic attack this morning which lasted over 5 hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains, it felt like someone has physically squeezed my heart and I have seen my doctor about this previously although my anxiety has not been this bad before but I am not sure what to do. I have tried so many different medications and none have helped except Valium and Oxazipam but my doctor does not want to prescribe it because it is addictive and I do not know what to do because as I said my anxiety is debilitating now and I am a young mother of two I need to be able to look after them. This morning I had to get my mother over here to look after them because of how bad my anxiety was, worst part is I do not know why I had a panic attack in the first place.
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Hello. I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed. Your doctor is correct in informing you that Valium and Oxazepam are not appropriate in this situation as they will make the situation worse. If anxiety is persistent, discuss with your doctor about trying SSRIs or SNRIs type of medication. You have mentioned about trying different medication before. There are different options like Fluoxetine, Sertraline, Escitalopram, etc. Based on your assessment and tolerability your doctor can prescribe appropriate medication and dosage. Try Jacobson\\s progressive muscle relaxation exercise atleast once daily to help to manage stress levels. Avoid caffeinated ChatDoctor. | Hello doctor,I suffered from a horrible panic attack this morning which lasted over 5 hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains, it felt like someone has physically squeezed my heart and I have seen my doctor about this previously although my anxiety has not been this bad before but I am not sure what to do. I have tried so many different medications and none have helped except Valium and Oxazipam but my doctor does not want to prescribe it because it is addictive and I do not know what to do because as I said my anxiety is debilitating now and I am a young mother of two I need to be able to look after them. This morning I had to get my mother over here to look after them because of how bad my anxiety was, worst part is I do not know why I had a panic attack in the first place. | Hello. I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed. Your doctor is correct in informing you that Valium and Oxazepam are not appropriate in this situation as they will make the situation worse. If anxiety is persistent, discuss with your doctor about trying SSRIs or SNRIs type of medication. You have mentioned about trying different medication before. There are different options like Fluoxetine, Sertraline, Escitalopram, etc. Based on your assessment and tolerability your doctor can prescribe appropriate medication and dosage. Try Jacobson\\s progressive muscle relaxation exercise atleast once daily to help to manage stress levels. Avoid caffeinated ChatDoctor. |
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Hello doctor,I have an abscess on my top left gum that is now spreading to my cheeks. I am 19. I had an abscess in the same place at 10 or other young age. Last time I went to the dentist they did not do the cleaning in the first appointment so I did not get one, but wisdom teeth removal was suggested. I have good teeth, bad gums. Also cracked my teeth when younger. So one of my two front teeth has a fake bottom (do not know if that is relevant). I do use a gel and just learned that it could be contributing.
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Hi, Welcome to Chat Doctor forum. Immediately start with these medicines. Tablet Augmentin 625 mg twice a day for five days, tablet Gramex 400 mg twice a day for five days, tablet Brufen 400 mg twice a day or thrice a day if the pain is severe for five days. Moreover, take some mustard oil or olive oil, put 1/4th teaspoon of salt in it. Make a paste and put it on gum line having the infection. Do it three times a day for three days. When swelling regress, put this paste on gums before sleeping. And start saline water mouth rinses. Take a 1/4th teaspoon of salt in lukewarm water and do its rinses 4 to 5 times a day for two weeks. And you must know this will only subside infection for some time but will go permanently after getting treatment from the dentist. Stay happy and blessed. Give me followup after three days. | Hello doctor,I have an abscess on my top left gum that is now spreading to my cheeks. I am 19. I had an abscess in the same place at 10 or other young age. Last time I went to the dentist they did not do the cleaning in the first appointment so I did not get one, but wisdom teeth removal was suggested. I have good teeth, bad gums. Also cracked my teeth when younger. So one of my two front teeth has a fake bottom (do not know if that is relevant). I do use a gel and just learned that it could be contributing. | Hi, Welcome to Chat Doctor forum. Immediately start with these medicines. Tablet Augmentin 625 mg twice a day for five days, tablet Gramex 400 mg twice a day for five days, tablet Brufen 400 mg twice a day or thrice a day if the pain is severe for five days. Moreover, take some mustard oil or olive oil, put 1/4th teaspoon of salt in it. Make a paste and put it on gum line having the infection. Do it three times a day for three days. When swelling regress, put this paste on gums before sleeping. And start saline water mouth rinses. Take a 1/4th teaspoon of salt in lukewarm water and do its rinses 4 to 5 times a day for two weeks. And you must know this will only subside infection for some time but will go permanently after getting treatment from the dentist. Stay happy and blessed. Give me followup after three days. |
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Hello doctor,About two weeks ago I chipped my front tooth. I went into my dentist this past week to get it smoothed out (very minor) but he also noticed a horizontal fracture across the middle of my front tooth. He does not want to jump into anything too quickly so said just to watch it and if it cracks off he will cap it. Since then I have noticed only when I put pressure on the tooth to bite down I have discomfort, but nothing constant. Should I be concerned about the pain? Is there anything I can do to help protect the fracture like having a sealant put on? And should I be concerned about the idea of a cap changing the way my face looks (looking unnatural, wanting to continue whitening my teeth, etc.)?
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Hi. I had gone through your question. I can understand your concern. As per your history, you had a recent tooth damage with microfracture, that means you have been put on the wait and watch. If your tooth is vital after a month or two and fracture has not widened, you do not need any treatment. If there is any discoloration or pain than the crown is the option. Nowadays the crown are totally in compliance with your dental shade and it does not looks artificial in any case if done properly. If you can upload a picture of the broken tooth taken in natural light, I can tell you does it need an immediate treatment. As of now, I do recommend you to use fluoridated toothpaste. Also, keep your teeth clean by brushing at least twice daily because chipped off teeth are highly prone to caries or cavities. | Hello doctor,About two weeks ago I chipped my front tooth. I went into my dentist this past week to get it smoothed out (very minor) but he also noticed a horizontal fracture across the middle of my front tooth. He does not want to jump into anything too quickly so said just to watch it and if it cracks off he will cap it. Since then I have noticed only when I put pressure on the tooth to bite down I have discomfort, but nothing constant. Should I be concerned about the pain? Is there anything I can do to help protect the fracture like having a sealant put on? And should I be concerned about the idea of a cap changing the way my face looks (looking unnatural, wanting to continue whitening my teeth, etc.)? | Hi. I had gone through your question. I can understand your concern. As per your history, you had a recent tooth damage with microfracture, that means you have been put on the wait and watch. If your tooth is vital after a month or two and fracture has not widened, you do not need any treatment. If there is any discoloration or pain than the crown is the option. Nowadays the crown are totally in compliance with your dental shade and it does not looks artificial in any case if done properly. If you can upload a picture of the broken tooth taken in natural light, I can tell you does it need an immediate treatment. As of now, I do recommend you to use fluoridated toothpaste. Also, keep your teeth clean by brushing at least twice daily because chipped off teeth are highly prone to caries or cavities. |
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Hello doctor,I am having acne since I was 14 years old. In the beginning, I did not want to see a dermatologist because I thought it is hormonal, but the acne was not stopping from popping up on my face and making my face look full of spots and acne. So I visited a dermatologist when I was 16, the doctor gave me two ointments and a tablet.The treatment continued for six to seven months, and my acne was gone and did not pop up for the next year. After this, I started having acne again just like before, so I revisited the doctor and asked him why is it so? He answered that it could happen because of some changes in diet and prescribed me the same tablet and the ointment for two more months. For the two months, I took all the medicine, and there was no acne for one month after the two-month medication. Now acne is coming back on my face. Why is this happening?
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Hello, Welcome to Chat Doctor forum. There are many causes of recurrent acne, the food, and dietary type is a factor as too much oil, and less fiber diet can cause acne breakouts. So if you are constipated and are already acne prone, this could have exacerbated the acne. If these are not the cause, then it is essential to check if your menstrual periods are regular as irregularity in the monthly cycle as in polycystic ovarian syn ChatDoctor. If you are overweight or have facial hair, you must get checked out by an endocrinologist or a gynecologist for the polycystic ovarian syn | Hello doctor,I am having acne since I was 14 years old. In the beginning, I did not want to see a dermatologist because I thought it is hormonal, but the acne was not stopping from popping up on my face and making my face look full of spots and acne. So I visited a dermatologist when I was 16, the doctor gave me two ointments and a tablet.The treatment continued for six to seven months, and my acne was gone and did not pop up for the next year. After this, I started having acne again just like before, so I revisited the doctor and asked him why is it so? He answered that it could happen because of some changes in diet and prescribed me the same tablet and the ointment for two more months. For the two months, I took all the medicine, and there was no acne for one month after the two-month medication. Now acne is coming back on my face. Why is this happening? | Hello, Welcome to Chat Doctor forum. There are many causes of recurrent acne, the food, and dietary type is a factor as too much oil, and less fiber diet can cause acne breakouts. So if you are constipated and are already acne prone, this could have exacerbated the acne. If these are not the cause, then it is essential to check if your menstrual periods are regular as irregularity in the monthly cycle as in polycystic ovarian syn ChatDoctor. If you are overweight or have facial hair, you must get checked out by an endocrinologist or a gynecologist for the polycystic ovarian syn |
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Hi doctor,I have had burning sensations on my skin since 14 years. I am also very much sensitive to touch, which feels like my entire body is bruised all over. It is so hard to explain, but that is the best way I can put it into words. I feel inflamed all over at times. I had a brain MRI before 20 years after being diagnosed with tinnitus and it was cleared. Following that I had a C-spine MRI thrice in the next three years and everything was normal. I had another brain MRI last year and radiologist noted several small spots in the periventricular and subcortical areas consistent with small vessel ischemic changes. The neurologist said he did not see anything on the MRI films whatsoever. So, I was left in limbo once again. I still have that radiologist report that shows spots on my brain that haunts me. Giving all the MRIs through the years and the fact that my symptoms have basically remained the same (sensory). What are the chances of this being MS without showing actual lesions that resemble MS? I also was diagnosed with pars planitis before 20 years, which is linked to MS in small percentage. That, of course, is what has scared me about my skin sensations. They usually come and go. This time I have been dealing with them since four months. This is really hard to deal with. Thank you.
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Hi.I have read your question with care and understand your concerns. Let me explain some basics. Nerve conduction studies. Revert back with the report to a neurologist online.- Take care. | Hi doctor,I have had burning sensations on my skin since 14 years. I am also very much sensitive to touch, which feels like my entire body is bruised all over. It is so hard to explain, but that is the best way I can put it into words. I feel inflamed all over at times. I had a brain MRI before 20 years after being diagnosed with tinnitus and it was cleared. Following that I had a C-spine MRI thrice in the next three years and everything was normal. I had another brain MRI last year and radiologist noted several small spots in the periventricular and subcortical areas consistent with small vessel ischemic changes. The neurologist said he did not see anything on the MRI films whatsoever. So, I was left in limbo once again. I still have that radiologist report that shows spots on my brain that haunts me. Giving all the MRIs through the years and the fact that my symptoms have basically remained the same (sensory). What are the chances of this being MS without showing actual lesions that resemble MS? I also was diagnosed with pars planitis before 20 years, which is linked to MS in small percentage. That, of course, is what has scared me about my skin sensations. They usually come and go. This time I have been dealing with them since four months. This is really hard to deal with. Thank you. | Hi.I have read your question with care and understand your concerns. Let me explain some basics. Nerve conduction studies. Revert back with the report to a neurologist online.- Take care. |
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Hi doctor,I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and had a miscarriage at six weeks. When I was pregnant, there was no bleeding but had spotting throughout. Since delivery I am suffering again with irregular and heavy bleeds. It became worse for the past eight months. I have IBS which is stress related. I am taking Adalat for high blood pressure, which is under control. I was prescribed Mefenamic acid and Tranexamic acid as I refused coil due to previous bleeding with one and refused Esmya due to side effects. My transvaginal ultrasound found two polycystic ovaries and bulky adenomyotic looking anteverted uterus vascular ++ on anterior wall. The size was 2 x 3 x 0.9 cm. There are no fibroids or polyps or other pelvic masses or free fluid. Then what is it?
### Response:
Hi, Welcome to Chat Doctor forum. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of kids you have. We can suggest you some hormonal treatment or surgical treatment based on your age and parity. Revert back with the personal details to an obstetrician and gynaecologist online | Hi doctor,I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and had a miscarriage at six weeks. When I was pregnant, there was no bleeding but had spotting throughout. Since delivery I am suffering again with irregular and heavy bleeds. It became worse for the past eight months. I have IBS which is stress related. I am taking Adalat for high blood pressure, which is under control. I was prescribed Mefenamic acid and Tranexamic acid as I refused coil due to previous bleeding with one and refused Esmya due to side effects. My transvaginal ultrasound found two polycystic ovaries and bulky adenomyotic looking anteverted uterus vascular ++ on anterior wall. The size was 2 x 3 x 0.9 cm. There are no fibroids or polyps or other pelvic masses or free fluid. Then what is it? | Hi, Welcome to Chat Doctor forum. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of kids you have. We can suggest you some hormonal treatment or surgical treatment based on your age and parity. Revert back with the personal details to an obstetrician and gynaecologist online |
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Hello doctor,I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative.My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort?
### Response:
Hello, Welcome to Chat Doctor forum. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles. As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out. It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a with ChatDoctor. As pregnancy test is negative, you can rest assured and wait for another week safely. | Hello doctor,I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative.My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort? | Hello, Welcome to Chat Doctor forum. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles. As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out. It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a with ChatDoctor. As pregnancy test is negative, you can rest assured and wait for another week safely. |
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Hi doctor,I am a 22 year old male. My weight is 180 lbs and height is 5\\10\". I was prescribed a generic brand of Adderall 20 mg about a year ago. It truly has improved my lifestyle. Up until about two months ago everything was fine. I noticed that on the left side of my neck became red randomly. I would describe it as looking more like a heat rash that starts around my collar, goes up only on the left side of my neck. It extends to my left ear and sometimes I get some redness on my left cheek bone. It does not itch or bother me in any way, but it is very noticeable sometimes. I have not been able to find any other factor that could be causing this. I have tried not eating particular foods, changed my laundry detergent, etc. My older brother and I both get a redness in our face when we play sports and this has happened every since I can remember. I do occasionally smoke cigarettes and have tried different brands to see if that may have a factor, but nothing. I have been to my local doctor and they have said that it is probably allergies, but I just do not agree. I am not allergic to anything, but I have not got around to getting an allergy test since the redness appeared. I am very concerned about this and more embarrassed. Thank you for any advice.
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Hi, Welcome to Chat Doctor forum. I have read your concern and I appreciate your effort for a detailed and meticulous history. Revert back after seven days to a dermatologist online | Hi doctor,I am a 22 year old male. My weight is 180 lbs and height is 5\\10\". I was prescribed a generic brand of Adderall 20 mg about a year ago. It truly has improved my lifestyle. Up until about two months ago everything was fine. I noticed that on the left side of my neck became red randomly. I would describe it as looking more like a heat rash that starts around my collar, goes up only on the left side of my neck. It extends to my left ear and sometimes I get some redness on my left cheek bone. It does not itch or bother me in any way, but it is very noticeable sometimes. I have not been able to find any other factor that could be causing this. I have tried not eating particular foods, changed my laundry detergent, etc. My older brother and I both get a redness in our face when we play sports and this has happened every since I can remember. I do occasionally smoke cigarettes and have tried different brands to see if that may have a factor, but nothing. I have been to my local doctor and they have said that it is probably allergies, but I just do not agree. I am not allergic to anything, but I have not got around to getting an allergy test since the redness appeared. I am very concerned about this and more embarrassed. Thank you for any advice. | Hi, Welcome to Chat Doctor forum. I have read your concern and I appreciate your effort for a detailed and meticulous history. Revert back after seven days to a dermatologist online |
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Hello doctor,I have been on 200 mg Quetiapine IR for some time. Finding it after years of medication tweaking to truly keep my bipolar II symptoms in check, with no significant side effects. I ran out while traveling abroad. Though I have no means of obtaining a new prescription, I do have plenty of Seroquel XR (in 50, 150, and 200 mg dosages) with me. For two nights, I have tried taking a 200 mg XR pill in the evening. Unfortunately, I have gotten little to no sleep and am very concerned about sleep cycle disruptions, as they have always led to more severe symptoms in the past. Moreover, I feel the sedative effects throughout the following day, an impairment I simply cannot afford to deal with right now, as well as a more persistent general sense of anxiety and agitation.If I were to simply crush these pills into a powder, would I be able to take them as though they were immediate-release of the same dose? Or would doing so alter the medication\\s properties? I am aware of the medication guide\\s instruction against chewing or cutting the sustained-release pills in any way, but I wish to know what the actual effects of doing so would be. Any suggestions on minimizing related risks, like food or water consumption tips, titration from a lower dose, etc.? Thanks.
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Hello. Let me enlighten you with the concept of IR and XR medication. IR medications mean immediate release; once you take the ChatDoctor. Most of the Take care. | Hello doctor,I have been on 200 mg Quetiapine IR for some time. Finding it after years of medication tweaking to truly keep my bipolar II symptoms in check, with no significant side effects. I ran out while traveling abroad. Though I have no means of obtaining a new prescription, I do have plenty of Seroquel XR (in 50, 150, and 200 mg dosages) with me. For two nights, I have tried taking a 200 mg XR pill in the evening. Unfortunately, I have gotten little to no sleep and am very concerned about sleep cycle disruptions, as they have always led to more severe symptoms in the past. Moreover, I feel the sedative effects throughout the following day, an impairment I simply cannot afford to deal with right now, as well as a more persistent general sense of anxiety and agitation.If I were to simply crush these pills into a powder, would I be able to take them as though they were immediate-release of the same dose? Or would doing so alter the medication\\s properties? I am aware of the medication guide\\s instruction against chewing or cutting the sustained-release pills in any way, but I wish to know what the actual effects of doing so would be. Any suggestions on minimizing related risks, like food or water consumption tips, titration from a lower dose, etc.? Thanks. | Hello. Let me enlighten you with the concept of IR and XR medication. IR medications mean immediate release; once you take the ChatDoctor. Most of the Take care. |
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Hello doctor,I have a baby boy who is 1 year 8 months old and his weight is only 8.4 kg (birth weight 2.6kg). Before one month, I recognized some irregularity in his walking and went for an X-ray and blood test by the recommendation of a doctor. And diagnosed that his vitamin D and calcium values are very low (vitamin D 19.9 and calcium 6.8) and also he is affected with a mild form of rickets. On the same day, started the medicine as one injection in two legs and vitamin D and calcium supplements are continuing. I was affected with chicken pox before 15 days of my delivery. Are these are connected? Anything to worry? Is it reversible? Also, I have one more doubt to ask you. My baby is not taking any food. By grating, I am giving everything as a semi-solid form by using spoon type feeding bottle. Is anything to worry regarding this? Is semisolid food is alright for him? He is not interested in any food including chocolates. Please give me the proper solution.
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Hello. Firstly, rickets is completely reversible and nothing permanent. Your babies values are very mildly affected. So, by the course you are giving him it will be cured completely. Your pregnancy chicken pox has nothing to do with his condition presently. So do not feel guilty in any way. Coming to food issue, it is perfectly alright for your child to eat semi-solid food. Do not worry about that. Some chil ChatDoctor. Please encourage him to | Hello doctor,I have a baby boy who is 1 year 8 months old and his weight is only 8.4 kg (birth weight 2.6kg). Before one month, I recognized some irregularity in his walking and went for an X-ray and blood test by the recommendation of a doctor. And diagnosed that his vitamin D and calcium values are very low (vitamin D 19.9 and calcium 6.8) and also he is affected with a mild form of rickets. On the same day, started the medicine as one injection in two legs and vitamin D and calcium supplements are continuing. I was affected with chicken pox before 15 days of my delivery. Are these are connected? Anything to worry? Is it reversible? Also, I have one more doubt to ask you. My baby is not taking any food. By grating, I am giving everything as a semi-solid form by using spoon type feeding bottle. Is anything to worry regarding this? Is semisolid food is alright for him? He is not interested in any food including chocolates. Please give me the proper solution. | Hello. Firstly, rickets is completely reversible and nothing permanent. Your babies values are very mildly affected. So, by the course you are giving him it will be cured completely. Your pregnancy chicken pox has nothing to do with his condition presently. So do not feel guilty in any way. Coming to food issue, it is perfectly alright for your child to eat semi-solid food. Do not worry about that. Some chil ChatDoctor. Please encourage him to |
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Hello doctor,Every night around 2-3 AM, any thought that crosses my mind makes me overthink about it. I am worried about such things that do not have a fixed solution. It may or may not happen. I\\ve tried listening to meditating sounds, calming sound during that time but to no avail. After an hour or two I do get normal but then I am so full of energy that I cannot fall asleep so I get up and start some work. (I am a freelancer working from home).I usually cannot sleep until my head feels heavy, eyes start closing and I start dozing off while working. For a few weeks, I have been sleeping in the afternoon or evening for three to five hours only. Rest of the time I am either thinking or working. Sometimes if I cannot stop thinking I smoke around two to three cigarettes to get over it. It does not help me sleep but helps me focus on work more and overthinking stops quite instantly.
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Hello. Your blood report is absolutely normal (attachment removed to protect patient identity) and I do not think there is anything alarming. Yes, your lipid profile is deranged and if you are overweight then try to reduce weight. At your age, it is not common to see raised cholesterol. Regarding the issues you have during sleep, in my opinion, this is probably occurring due to anxiety. You should seek a psychiatrist consultation for treatment. Improve your sleep hygiene and this will improve the symptoms. Avoid giving attention to minor things. Take a high protein diet and complex carbs and low in fats. I hope this helps. | Hello doctor,Every night around 2-3 AM, any thought that crosses my mind makes me overthink about it. I am worried about such things that do not have a fixed solution. It may or may not happen. I\\ve tried listening to meditating sounds, calming sound during that time but to no avail. After an hour or two I do get normal but then I am so full of energy that I cannot fall asleep so I get up and start some work. (I am a freelancer working from home).I usually cannot sleep until my head feels heavy, eyes start closing and I start dozing off while working. For a few weeks, I have been sleeping in the afternoon or evening for three to five hours only. Rest of the time I am either thinking or working. Sometimes if I cannot stop thinking I smoke around two to three cigarettes to get over it. It does not help me sleep but helps me focus on work more and overthinking stops quite instantly. | Hello. Your blood report is absolutely normal (attachment removed to protect patient identity) and I do not think there is anything alarming. Yes, your lipid profile is deranged and if you are overweight then try to reduce weight. At your age, it is not common to see raised cholesterol. Regarding the issues you have during sleep, in my opinion, this is probably occurring due to anxiety. You should seek a psychiatrist consultation for treatment. Improve your sleep hygiene and this will improve the symptoms. Avoid giving attention to minor things. Take a high protein diet and complex carbs and low in fats. I hope this helps. |
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Hello doctor,I urinate a lot, almost 32 times a day. When I urinate and come back, after a while, I can feel some urine passes my urinary tract, and I have to urinate again. Can you prescribe some tablets?
### Response:
Hello, Welcome to Chat Doctor forum. We call this as urinary incontinence in medical language. There are so many possibilities which can be responsible for this. Most probably your urinary bladder may fail to empty properly due to weakness of bladder muscle. For this condition, you have to get a USG (ultrasonography) done, where I want the detail about post-void residual volume. It means an ultrasonologist will take scan one before urinating and another after passing the urine in which he will mention the volume of post-void residual urine (PVU). If the volume retention is moderate, then we have to strengthen your pelvic floor muscle with some exercise and believe me it gives an excellent result and I had, treated so many patients with that exercise. Another possibility is decreased blood concentration of ADH (anti-diuretic hormones) which is, responsible for concentrating the urine and lack of this hormone is responsible for frequent urination. The last but not least, I would advise to get your blood sugar level done (both- fasting and two hours after a meal). As you know, without knowing the cause, nobody can prescribe you the medicine as it can be dangerous for you. So I will suggest you to follow my advice, get these two tests done, and send it back to me for proper evaluation and treatment of your problem. | Hello doctor,I urinate a lot, almost 32 times a day. When I urinate and come back, after a while, I can feel some urine passes my urinary tract, and I have to urinate again. Can you prescribe some tablets? | Hello, Welcome to Chat Doctor forum. We call this as urinary incontinence in medical language. There are so many possibilities which can be responsible for this. Most probably your urinary bladder may fail to empty properly due to weakness of bladder muscle. For this condition, you have to get a USG (ultrasonography) done, where I want the detail about post-void residual volume. It means an ultrasonologist will take scan one before urinating and another after passing the urine in which he will mention the volume of post-void residual urine (PVU). If the volume retention is moderate, then we have to strengthen your pelvic floor muscle with some exercise and believe me it gives an excellent result and I had, treated so many patients with that exercise. Another possibility is decreased blood concentration of ADH (anti-diuretic hormones) which is, responsible for concentrating the urine and lack of this hormone is responsible for frequent urination. The last but not least, I would advise to get your blood sugar level done (both- fasting and two hours after a meal). As you know, without knowing the cause, nobody can prescribe you the medicine as it can be dangerous for you. So I will suggest you to follow my advice, get these two tests done, and send it back to me for proper evaluation and treatment of your problem. |
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Hello doctor,I have done my TSH test recently and the result is 6.0 but my doctor did not suggest any medication. What should I do now? I am having many problems like weakness, gaining weight, dizziness, trembling, back pain, and waist pain. My skin is getting pale and dry day by day. I remain frightened all the time. I also get a problem while breathing sometimes and my blood pressure gets high like 120/90 or 130/80 mmHg and it becomes normal again. I am having these problems for five years. Sometimes they show up high and sometimes they become normal. I sleep a lot. Please help.
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Hello, Welcome to ChatDoctor. I just read your query as to why your doctor does not want to prescribe any medication for your raised TSH (thyroid-stimulating hormone). Well, in my opinion, he is right because your TSH is a bit high but not above 10 when we need to prescribe treatment for the same. Your symptoms which you have described are mainly due to the anxiety and depression which you have for a long time and you already took medicines for the same. These medicines which you mentioned are also partially responsible for the weight gain and side effects. They are currently not related to thyroid issues. The TSH is not so high that it would give rise to these symptoms. Well, I would suggest you follow up with a good psychiatrist in your area for these symptoms. Also, I would suggest you do complete blood count and repeat thyroid function tests in three months. I hope this helps. | Hello doctor,I have done my TSH test recently and the result is 6.0 but my doctor did not suggest any medication. What should I do now? I am having many problems like weakness, gaining weight, dizziness, trembling, back pain, and waist pain. My skin is getting pale and dry day by day. I remain frightened all the time. I also get a problem while breathing sometimes and my blood pressure gets high like 120/90 or 130/80 mmHg and it becomes normal again. I am having these problems for five years. Sometimes they show up high and sometimes they become normal. I sleep a lot. Please help. | Hello, Welcome to ChatDoctor. I just read your query as to why your doctor does not want to prescribe any medication for your raised TSH (thyroid-stimulating hormone). Well, in my opinion, he is right because your TSH is a bit high but not above 10 when we need to prescribe treatment for the same. Your symptoms which you have described are mainly due to the anxiety and depression which you have for a long time and you already took medicines for the same. These medicines which you mentioned are also partially responsible for the weight gain and side effects. They are currently not related to thyroid issues. The TSH is not so high that it would give rise to these symptoms. Well, I would suggest you follow up with a good psychiatrist in your area for these symptoms. Also, I would suggest you do complete blood count and repeat thyroid function tests in three months. I hope this helps. |
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Hello doctor,I have urination problem from six months. There is no urine build up during the day. But while taking bed rest in the day, I have started to urinate more frequently. There was no problem in the morning. I got a checkup done. The ultrasound, urine test, and blood test were normal. Now, I have no urine in the morning. A very small quantity of deep yellow colored (very concentrated) urine with no pressure in the morning. After two hours of taking tea and water, I urinate frequently. There is normal urination during the day. I am under deep stress and anxiety. Sometimes, I feel puffiness on my face and sometimes mild swelling on my legs after sitting for a long time in one place. There is no swelling in the legs while moving. I am sending my latest report. Please suggest me is there anything to worry. I am on Alfuzosin, Clonazepam, Alprax, and Sertraline.
### Response:
Hello, Welcome to Chat Doctor forum. Relax and do not worry. Your problem is not big. I have seen all the reports sent by you (attachment removed to protect patient identity). It is perfectly fine. Regarding urinary complaints, it looks like the side effect of Clonazepam and Sertraline tablets. These tablets cause decreased urine production and hence your symptoms. I suggest you maintain a bladder diary for three days. Also, ChatDoctor. I suggest taking tablet Dytor (Torasemide) 10 mg at bedtime. This will improve your symptoms. For more information consult a urologist online | Hello doctor,I have urination problem from six months. There is no urine build up during the day. But while taking bed rest in the day, I have started to urinate more frequently. There was no problem in the morning. I got a checkup done. The ultrasound, urine test, and blood test were normal. Now, I have no urine in the morning. A very small quantity of deep yellow colored (very concentrated) urine with no pressure in the morning. After two hours of taking tea and water, I urinate frequently. There is normal urination during the day. I am under deep stress and anxiety. Sometimes, I feel puffiness on my face and sometimes mild swelling on my legs after sitting for a long time in one place. There is no swelling in the legs while moving. I am sending my latest report. Please suggest me is there anything to worry. I am on Alfuzosin, Clonazepam, Alprax, and Sertraline. | Hello, Welcome to Chat Doctor forum. Relax and do not worry. Your problem is not big. I have seen all the reports sent by you (attachment removed to protect patient identity). It is perfectly fine. Regarding urinary complaints, it looks like the side effect of Clonazepam and Sertraline tablets. These tablets cause decreased urine production and hence your symptoms. I suggest you maintain a bladder diary for three days. Also, ChatDoctor. I suggest taking tablet Dytor (Torasemide) 10 mg at bedtime. This will improve your symptoms. For more information consult a urologist online |
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Hello doctor,I have been taking steroids on and off for the past three years. I got artial fibrallation a year ago (never again since then). My blood pressure was quite high 152/90 at the doctor. LV is normal and LVEDD is 53 mm, normal systolic function, no regional wall movement abnormalities.LVH - 14 mm and beginning diastolic dysfunction (E/A=1, E/E\\x80\\x98 8-15), LA 21 cm^2.I already lost 24 kg and now I am weighing 110 kg at 194 cm, my goal is 93 kg. I also stopped steroids and now my blood pressure is 123/75. Will my diastolic function recover once I managed to reverse the LVH?
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Hello, Welcome to Chat Doctor forum. I have gone through your query. Can I know why were you on steroids? Was there any particular disease that was diagnosed and started you with steroids? As there are many determinants causing diastolic dysfunction, one of the common cause is hypertension. And yes, diastolic dysfunction is reversible in the majority of the cases over a period of time if you properly control your BP, obesity, and start doing regular exercise, consume a healthy diet, and lifestyle modification. You should also stop any addictions like smoking or alcohol if any. Also, get your blood sugar levels and thyroid profile checked. Get back with details about your disease and indication for steroids for further discussion and management. | Hello doctor,I have been taking steroids on and off for the past three years. I got artial fibrallation a year ago (never again since then). My blood pressure was quite high 152/90 at the doctor. LV is normal and LVEDD is 53 mm, normal systolic function, no regional wall movement abnormalities.LVH - 14 mm and beginning diastolic dysfunction (E/A=1, E/E\\x80\\x98 8-15), LA 21 cm^2.I already lost 24 kg and now I am weighing 110 kg at 194 cm, my goal is 93 kg. I also stopped steroids and now my blood pressure is 123/75. Will my diastolic function recover once I managed to reverse the LVH? | Hello, Welcome to Chat Doctor forum. I have gone through your query. Can I know why were you on steroids? Was there any particular disease that was diagnosed and started you with steroids? As there are many determinants causing diastolic dysfunction, one of the common cause is hypertension. And yes, diastolic dysfunction is reversible in the majority of the cases over a period of time if you properly control your BP, obesity, and start doing regular exercise, consume a healthy diet, and lifestyle modification. You should also stop any addictions like smoking or alcohol if any. Also, get your blood sugar levels and thyroid profile checked. Get back with details about your disease and indication for steroids for further discussion and management. |
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Hello doctor,I am 21 years old, medically fit. I play football a lot. Recently, I started to have pain in my left knee, there is a pain when I sit on the ground (on bending) and I feel it is crusty when I try to open it. Also there is pain on resistance to movement.
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Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Knee joint consists of two bones that are femur and tibia. In between these bones, a few structures are present which provide stability to the joint and make the joint strong. These structures are ligaments which connects the two bones and meniscus which are the fibrocartilages present between the two bones. Injury to the meniscus is a common problem faced by football players and athletes. Probably you had a meniscal injury or tear as you are having pain while bending the knee and difficulty in opening it which is called locking and unlocking of the joint. Not all meniscal tears require surgery. I would suggest you get an X-ray done to make sure that there is no bone fracture. Limit activities of the knee joint. Stop playing football for a few days. Apply ice packs to the knee joint for 15 to 20 minutes 3 to 4 times a day. Apply crepe bandage to the knee. You can take an anti-inflammatory medicine like any NSAID twice daily for five days. Avoid running and jumping. I suggest you take orthopedic opinion also. Injury to meniscus or ligament of the knee joint. X-ray knee joint | Hello doctor,I am 21 years old, medically fit. I play football a lot. Recently, I started to have pain in my left knee, there is a pain when I sit on the ground (on bending) and I feel it is crusty when I try to open it. Also there is pain on resistance to movement. | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Knee joint consists of two bones that are femur and tibia. In between these bones, a few structures are present which provide stability to the joint and make the joint strong. These structures are ligaments which connects the two bones and meniscus which are the fibrocartilages present between the two bones. Injury to the meniscus is a common problem faced by football players and athletes. Probably you had a meniscal injury or tear as you are having pain while bending the knee and difficulty in opening it which is called locking and unlocking of the joint. Not all meniscal tears require surgery. I would suggest you get an X-ray done to make sure that there is no bone fracture. Limit activities of the knee joint. Stop playing football for a few days. Apply ice packs to the knee joint for 15 to 20 minutes 3 to 4 times a day. Apply crepe bandage to the knee. You can take an anti-inflammatory medicine like any NSAID twice daily for five days. Avoid running and jumping. I suggest you take orthopedic opinion also. Injury to meniscus or ligament of the knee joint. X-ray knee joint |
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Hi doctor,I have developed a large, hard lump on the underside of my tongue. It is grayish white in color and does not hurt at all. It feels like a hard ball in my tongue. Also, I have other small red bumps. I do not know how long they have been there and I just noticed it before two days. These are weird and seem to be growing. I have never noticed it before. I have suddenly started getting acne all over my face and I never had it before in my life. Could this be related somehow? I am 25 now. I used to smoke but stopped some months ago. I drank a lot for a couple years. Do not know if that is relevant. Please help.
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Hi, Welcome to Chat Doctor forum. The hard lump under your tongue is mostly inflammation which usually gets very hard due to the structure of tongue. The bumps are formed when the inflamed tongue presses against the teeth causing that particular pattern.The inflammation of tongue usually becomes very hard to touch and grayish in color, it will take at least a week or two to return to normal. The acne problem might be due to increased hormonal activity in your body mostly and is not related to the other. I would suggest you to wait for 10 days for the tongue to return to normal. If you could take medicines over-the-counter, I would suggest you to take anti-inflammatory medication twice for five days. Kindly answer me, so that I can diagnose any other possible condition if necessary. Revert back with the answers for the above questions to a dentist online | Hi doctor,I have developed a large, hard lump on the underside of my tongue. It is grayish white in color and does not hurt at all. It feels like a hard ball in my tongue. Also, I have other small red bumps. I do not know how long they have been there and I just noticed it before two days. These are weird and seem to be growing. I have never noticed it before. I have suddenly started getting acne all over my face and I never had it before in my life. Could this be related somehow? I am 25 now. I used to smoke but stopped some months ago. I drank a lot for a couple years. Do not know if that is relevant. Please help. | Hi, Welcome to Chat Doctor forum. The hard lump under your tongue is mostly inflammation which usually gets very hard due to the structure of tongue. The bumps are formed when the inflamed tongue presses against the teeth causing that particular pattern.The inflammation of tongue usually becomes very hard to touch and grayish in color, it will take at least a week or two to return to normal. The acne problem might be due to increased hormonal activity in your body mostly and is not related to the other. I would suggest you to wait for 10 days for the tongue to return to normal. If you could take medicines over-the-counter, I would suggest you to take anti-inflammatory medication twice for five days. Kindly answer me, so that I can diagnose any other possible condition if necessary. Revert back with the answers for the above questions to a dentist online |
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Hello doctor,I am a 43 year old male. I have been taking Xarelto for about a year-and-a-half due to a pulmonary embolism that I had. They were very small. I have done every test including the factor 5 and the conclusion was my constant driving. My biggest fear is obviously getting another blood clot which I know you can get one while taking Xarelto. Obviously, every ache and pain I think that I have another one. Sometimes, I do get mild cramping in my legs but it comes and goes. My biggest question is if I was to get another blood clot. Is basically the only thing that can be done is just continuing to take Xarelto?
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Hello. Xarelto is the brand name for the generic ChatDoctor. It blocks the activity of certain clotting factors in the blood. It is used to prevent or treat deep vein thrombosis in which blood clots form in the deep veins of the legs. This can lead to pulmonary embolism in certain cases as in yours and can be fatal. Your current medication comprising of Xarelto daily is a form of prophylaxis to prevent the occurrence of deep vein thrombosis. The dose is lower than that when you are being treated for deep vein thrombosis. There are other anticoagulants which can be used but Xarelto is preferred. If you were to get another episode of deep vein thrombosis, the treatment would differ. Deep vein thrombosis is associated with prolonged periods of inactivity, inherited clotting disorders, surgery, and certain cancers. Since in your case it is due to Take care. | Hello doctor,I am a 43 year old male. I have been taking Xarelto for about a year-and-a-half due to a pulmonary embolism that I had. They were very small. I have done every test including the factor 5 and the conclusion was my constant driving. My biggest fear is obviously getting another blood clot which I know you can get one while taking Xarelto. Obviously, every ache and pain I think that I have another one. Sometimes, I do get mild cramping in my legs but it comes and goes. My biggest question is if I was to get another blood clot. Is basically the only thing that can be done is just continuing to take Xarelto? | Hello. Xarelto is the brand name for the generic ChatDoctor. It blocks the activity of certain clotting factors in the blood. It is used to prevent or treat deep vein thrombosis in which blood clots form in the deep veins of the legs. This can lead to pulmonary embolism in certain cases as in yours and can be fatal. Your current medication comprising of Xarelto daily is a form of prophylaxis to prevent the occurrence of deep vein thrombosis. The dose is lower than that when you are being treated for deep vein thrombosis. There are other anticoagulants which can be used but Xarelto is preferred. If you were to get another episode of deep vein thrombosis, the treatment would differ. Deep vein thrombosis is associated with prolonged periods of inactivity, inherited clotting disorders, surgery, and certain cancers. Since in your case it is due to Take care. |
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Hello doctor,I have enlarged spleen from the last two years. I am 24 years old, male. My spleen size went from 13.4 cm two years back to 14 cm to 14.4 cm four months back. My CBC report looks normal and I have vitamin B12 level as 349 and vitamin D as 11.13. I have MCV level 102.4 and MCH level 34.2. Monocytes are 0.13 absolute. Can you please guide me on what needs to be done. I had peripheral blood smear, malaria, hepatitis tests too. All were under limits, as of now I do not have pain. Other doctors suggested hematologist. Please help.
### Response:
Hello, Welcome to Chat Doctor forum. I have reviewed your query and below is my opinion. The various causes for enlarged spleen include infection like malaria, Gaucher disease like storage disorder, hemolytic anemia, leukemia, lymphoma, infections, liver disease, etc. The CBC and peripheral smear examination report do not suggest leukemia. Hemolytic anemia also can be excluded as bilirubin level is normal. Liver disease chance also very less as reports are normal related to that (attachment removed to protect patient identity). As you have persistent spleen enlargement, it is advisable to investigate with spleen biopsy or FNAC for histopathology examination. It will help in identifying the underlying specific cause if present. You can consult a surgeon for a detailed evaluation and examination. Then, if needed, the surgeon will suggest you visit hematologist. | Hello doctor,I have enlarged spleen from the last two years. I am 24 years old, male. My spleen size went from 13.4 cm two years back to 14 cm to 14.4 cm four months back. My CBC report looks normal and I have vitamin B12 level as 349 and vitamin D as 11.13. I have MCV level 102.4 and MCH level 34.2. Monocytes are 0.13 absolute. Can you please guide me on what needs to be done. I had peripheral blood smear, malaria, hepatitis tests too. All were under limits, as of now I do not have pain. Other doctors suggested hematologist. Please help. | Hello, Welcome to Chat Doctor forum. I have reviewed your query and below is my opinion. The various causes for enlarged spleen include infection like malaria, Gaucher disease like storage disorder, hemolytic anemia, leukemia, lymphoma, infections, liver disease, etc. The CBC and peripheral smear examination report do not suggest leukemia. Hemolytic anemia also can be excluded as bilirubin level is normal. Liver disease chance also very less as reports are normal related to that (attachment removed to protect patient identity). As you have persistent spleen enlargement, it is advisable to investigate with spleen biopsy or FNAC for histopathology examination. It will help in identifying the underlying specific cause if present. You can consult a surgeon for a detailed evaluation and examination. Then, if needed, the surgeon will suggest you visit hematologist. |
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Hello doctor, I am 22 years old. I am trying to conceive for the second time. I have a 3-year-old son and it was a natural birth. I am not on any medication. My period was always regular and I get them every month. But about 3 months ago, my period days changed from the beginning of the month to the middle, when it was all messed up I was getting a period twice a month but that has stopped. About two days ago, I thought I was getting my period but I am lightly spotting it is a light red color it is not dark or anything it is more faint. When I am usually on my period I bleed a lot. I have been pregnant before and know the symptoms but would it be possible? I do not understand this light spotting, am I on my period? Do you think can I be pregnant? Or it can be my cycle changing?
### Response:
Hello, Welcome to Chat Doctor forum. There are multiple reasons for not being able to conceive. First, it depends on the time for which you guys are trying. Only after a year of unprotected intercourse, we can start the evaluation. And that you have conceived once naturally means the mechanics are all correct. I see that your BMI (body mass index) is high. That could be the reason for irregular periods. You must work on your weight and bring the BMI between 18 to 25. If you are concerned about your cycles, you will be prescribed contraceptive pills. If you want to conceive they might start the evaluation depending on the policy. | Hello doctor, I am 22 years old. I am trying to conceive for the second time. I have a 3-year-old son and it was a natural birth. I am not on any medication. My period was always regular and I get them every month. But about 3 months ago, my period days changed from the beginning of the month to the middle, when it was all messed up I was getting a period twice a month but that has stopped. About two days ago, I thought I was getting my period but I am lightly spotting it is a light red color it is not dark or anything it is more faint. When I am usually on my period I bleed a lot. I have been pregnant before and know the symptoms but would it be possible? I do not understand this light spotting, am I on my period? Do you think can I be pregnant? Or it can be my cycle changing? | Hello, Welcome to Chat Doctor forum. There are multiple reasons for not being able to conceive. First, it depends on the time for which you guys are trying. Only after a year of unprotected intercourse, we can start the evaluation. And that you have conceived once naturally means the mechanics are all correct. I see that your BMI (body mass index) is high. That could be the reason for irregular periods. You must work on your weight and bring the BMI between 18 to 25. If you are concerned about your cycles, you will be prescribed contraceptive pills. If you want to conceive they might start the evaluation depending on the policy. |
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Hello doctor,My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room?
### Response:
Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario. Take care. | Hello doctor,My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room? | Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario. Take care. |
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Hi doctor,I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now?
### Response:
Hello, Welcome to Chat Doctor forum. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me. | Hi doctor,I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now? | Hello, Welcome to Chat Doctor forum. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me. |
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Hello doctor,My wife is very abusive and says the wrong things sometimes. Her mood goes off, and she remains like that for 2 to 3 days. After which, I have to make a lot of efforts by saying sorry so many times, and then she would become normal. During such a period, she will not talk or talk only through messages or talk in an angry way, and she behaves very angrily. Then she says anything and becomes very angry, and she starts shouting. She has mood swing issues. When she was a month and a half pregnant, her mood was bad for seven straight days. She does not like my parents and sister and does not want them staying with us.A month back, when my son was born, my parents had come to see the baby. She did not like them visiting and wanted to send them out. But, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent\\s place. She does not want to come back, and she says that my mom and sister are doing black magic, and I support them. She is threatening for divorce now. Earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. She is very fond of her mother and wants to stay with her mother and does not want to come back. What should I do?
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Hi, Welcome to Chat Doctor forum. I read your query and understand your concerns. I hope this helps you. Thanks and regards. For more information consult a psychologist counsellor online | Hello doctor,My wife is very abusive and says the wrong things sometimes. Her mood goes off, and she remains like that for 2 to 3 days. After which, I have to make a lot of efforts by saying sorry so many times, and then she would become normal. During such a period, she will not talk or talk only through messages or talk in an angry way, and she behaves very angrily. Then she says anything and becomes very angry, and she starts shouting. She has mood swing issues. When she was a month and a half pregnant, her mood was bad for seven straight days. She does not like my parents and sister and does not want them staying with us.A month back, when my son was born, my parents had come to see the baby. She did not like them visiting and wanted to send them out. But, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent\\s place. She does not want to come back, and she says that my mom and sister are doing black magic, and I support them. She is threatening for divorce now. Earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. She is very fond of her mother and wants to stay with her mother and does not want to come back. What should I do? | Hi, Welcome to Chat Doctor forum. I read your query and understand your concerns. I hope this helps you. Thanks and regards. For more information consult a psychologist counsellor online |
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Hi doctor,I do a couple of sports to have some hip flexibility. I am pretty flexible, and I can do right and left splits. But when doing the center split, I get a stopping pain in my outer hip with no stretch in my inner thigh. If I rotate my knees back and hips forward, I can do more stretch, but there is also a slight stop. What is this and can it be worked? Will stretching help to release that stopping pain or am I anatomically incapable of doing a middle split? There is pain only when I am doing a center split. How to fix it? I do a lot of kicking, and I do not want to injure myself.
### Response:
Hi, Welcome to Chat Doctor forum. There are many factors, other than tight inner thigh muscles that limit the split especially center split. Bony restriction in the hip joint, as the hip joint bone gets jammed into socket because of extreme coxa vara angle (angulation between the neck and shaft of the thigh bone) leading to restrictions in movement. These jams will not happen when you do a side split as there is slight rotation occurring in the joint and allows the action to happen. Other reason could be ligamentous (pubofemoral ligament) limitation as the ligament tightens and it limits the further movement. This ligament realigns and will relax while doing forward and side split. So, it will not restrict your movement other than center split. You can try tilting your pelvis forward so that there can be some relief with limitation in both the cases. For more information consult a physiotherapist online | Hi doctor,I do a couple of sports to have some hip flexibility. I am pretty flexible, and I can do right and left splits. But when doing the center split, I get a stopping pain in my outer hip with no stretch in my inner thigh. If I rotate my knees back and hips forward, I can do more stretch, but there is also a slight stop. What is this and can it be worked? Will stretching help to release that stopping pain or am I anatomically incapable of doing a middle split? There is pain only when I am doing a center split. How to fix it? I do a lot of kicking, and I do not want to injure myself. | Hi, Welcome to Chat Doctor forum. There are many factors, other than tight inner thigh muscles that limit the split especially center split. Bony restriction in the hip joint, as the hip joint bone gets jammed into socket because of extreme coxa vara angle (angulation between the neck and shaft of the thigh bone) leading to restrictions in movement. These jams will not happen when you do a side split as there is slight rotation occurring in the joint and allows the action to happen. Other reason could be ligamentous (pubofemoral ligament) limitation as the ligament tightens and it limits the further movement. This ligament realigns and will relax while doing forward and side split. So, it will not restrict your movement other than center split. You can try tilting your pelvis forward so that there can be some relief with limitation in both the cases. For more information consult a physiotherapist online |
Subsets and Splits